1977, 04-19 Permit App: M0710 Residence Ct.inty of Spokane, Washington
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 any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
De/formed 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
4H
ghway, clearance must be obtained from the County Engineer and/or State Highway Department.
P CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the1land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE (-" �, 7
A . 2 7e `'- . c4 Phone / .?--Z/�-s?
Name of Owner - Address
Architect Address Phone
Engineer Address Phone
Contractor S-s.- e Address -5c +-. ' Phone ,514-A., e__.
Legal Description of Properly ( ve co"Alelte description fro V, tax r ceipt, etc.)
I
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zone _ • Fire Zone y
,: c c_
Size of L t. ' .-6/ / 5 0 Sewage Syste onst._L j Z i':-€
1 �^ Fr., Co2.C., B . etc.)
Stories �� Dimensions Z'Y -7 f' jTotal Sq. Ft. id Valuation , a
Rooms Y Baths Basement f;S Foundation Const. L-� ✓t ��he /C" Chimney 4 Fireplace
Fy�ll, part, none / (Kind) J�J (Number /
Heat. System f Type of oofin \ </l.S Ext. Fi ish_ 71 Int. Wall Finish /✓/'y A/4 1!
Use of Bldg. �'S In �t.1 7%�- Car'A9£ tt/5( 2 No. of Units_Bedrooms .73
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
til
d water supply lines.
r
) NORTH RESIDENTIAL - COMMERCIAL
State License No.
«_ AO- (=F-cess-36
Ino. Ins. Acct. No.
_ire /4 t a c fr'e sCAee_
REQUIRED
Plumbing Permit P' r S C 11
m Heating Permit -5a ../-
m
m a
y401 Sewage Permit X, AV < ..
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certifyinffoormation submitted is correct and there are no other structures located on this property except
as shown. e- .t��,+-1 e<
.. �i 't�.+....ci / ? A e t/ / /* 7
Cartier or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
...„--7 txt DO NOT WRITE BELOW THIS LINE
,i Your street address wi be `y / f) ,� � c�,f 1 The zone is
Sewage Permit Number Issued Bui)Permit 11 , :',„ ceipt 77.Issued
Remarks
)
--.-.1 523 Bldg. Code
Otiie
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/374
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