1977, 04-18 Permit App: M684 ResidenceCintY Spokane, S okane, Wasiegton
# 213
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 40.00
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
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 99206
W. K. 5. & Associates Ino 326 So. Pines Rd Phone 928-33$0
Name of Owner
Architect Address Phone
Engineer Address Phone
Contractor S `'ime Address Phone
Legal s ip on of pert ( v complete a ri ion from deed, tax receipt, etc
ionLOCK G1'+ R'Z x Early Dawn 2nd Addition
Parcel # PORtion of 26542 - 9018
r
DESCRIPTION O WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 80 x 125 Sewage System septic onstframe
house garage (Fr., Conc., Br., etc.)
Stories 1 Dimensions 40 x 26 w/offsets 22 X 22 Total Sq. Ft 1459 Valuation 37.950.00
Rooms�Baths 1 Basement full Foundation Const concreteChimne
Fu I, part, none)
Heat. System elec Tyoe of Roofing comp Ext. Finish frame
Int. Wall Finish drywall
Use of Bldg. single family residence with dble att. garage No. of Units_ Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
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-
(---- ,
RESIDENTIAL L — OMMERCIAL
See attached Plot plan
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Steve white
Heating Permit Wayne Smith
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
4/18/77
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be .Q / / 7 i, ,s em /,;"76-4'6-44/1r The zone i �'+'� '
Sewage Permit Number Issued Building Permit f'/4e SI Receipt F c.. ' Issued
Remarks
Form 523 Bldg. Code
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