1977, 04-08 Permit App: M2173 Residence•
AntY of Spokane Was ington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
r
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ii/i lS ' (address
Architect Address
Address
Address
Engineer
Contractor
v4-. 0 -0 -4 -Lt L
L gal Description of P perty (Gi4 comple riptibn,fr deed, tax receipt, etc )
r /
�cr ' / aiy 3 n 'c 7
Phone
Phone
Phone
Phone '7 J<;.
DESCRIPTION OF W pRK: New
Size of Lot /'C R''
S ries Dimen ions
Addition Remodel
,67 r ��
Moving
Sewage System
Bldg. Zone Fir.one
onst.n I1'!F'+--
(Fr., Conc., Br., etca tLc
Va uation
Fireplace oc
Kind /a t y
Int. Wall Finish DPI/Ida Idy ///
No. of Units l Bedrooms 3
!/
part, none) n r Total Sq. Ft
Rooms Baths /G
Heat. System
Use of Bldg.
Ba
/1771e,
sement ii Foundation Const E �- Chimney
Type o Roofing 5'1C1 /t'i Ext. Finish 4)/jC1/f
.
L) A TacNFn 9a kG ?
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
(SIDENTIAL — COMMERCIAL
I hereby certify
as shown.
SOUTH
ormation submitted is correct and there are no
L-1 tom
ner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
REQUIRED''
Plumbing Permit 7T J I
Heating Permit ,4/0 ) 0/a- -1
Sewage Permit CQ R /l t",C.f
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property excekt
Date
CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be / W- ,x! r -1_,-1, q9. ' ;. -/ C L-- it The zone is a,40.--,y,,,,,../i�I LG 1 `� � ti,—
Sewage Permit Number Issued Building Permit rj'l 9(7 3 Receipt e' 77, Issued
Remarks ��1
Form 523 Bldg. Code
IL 7
4,