1977, 04-15 Permit App: M0714 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f, Z,,
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 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.
nd
ents
ng with the land
hlareVenforce ble.throughrs civiluld check action. Countysions of Officialsocanants or not bringdactionns tosenforcemcovenantsiwhior dedications.
APPLICANT FILL IN BELOW THIS LINE 4./14,(1_,99,/&->
Name of Owner �r.�.r T �'f� r �L t Address M-61.2.1 f . c J y F'�% l Phone 9 ^ 'e. - e, 7/6,
Architect Address Phone
Engineer Address Phone
Contractor � /24 ie Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number *t✓.9="h'���
DESCRIPTION OF WORK: New '4 Addition Remodel Moving Bld Zone ....4._—. Fire one
Size of Lot gK 42 o Sewage System Const. -"* a-44"‘
c1
(Fr., Conc., Br., etc.)
0.
Stories. Dimensions o2 RX'.�� `+ '` C l r+ 7X //, �/ 1.(4.-jh;XI (Total Sq. Ft J i 7 J Valuation .3 4,,/,‘)Z.)
Rooms 12..._ Baths '''' BasementFoundation Const %0` e --i ' Chimneyri�+ Fireplace `�
_ Fu I, part, none (Kind) (Numbs r/
Heat. System/ Type of -Hoofing _ Ext. Finish 7---/ I / Int. Wall Finish f - � /�
Use of Bldg. L (L" , .![9 -4-d P -/k il
N�. of Units Bedrooms 'LC
O..2 A / ".( r.[_i_,az ti--i,.�C-' �-"1 e C.e. ki-a -`. --
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-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
SOUTH
I hereby certify information submitted is correct and there are
as shown.
State License No.
DA/ ,moi
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
/ -,
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT. ,�
) -Yl /� pa) DO NOT WRITE BELOW THIS LINE
Your street address will be 21 -4 6 Q v Xic t.1 f9-�
Sewage Permit Number Issued Building Permit
Remarks
Date
CONSTRUCTION COMMENCES.
The zone is_ X1-2/-/
S')-7)
j
Receipt I ) Issued
[.,.,,. 411 51.1., rn,r.