1977, 04-10 Permit App: M0532 Residencecloy of Spokane. Wasiegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 i
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '3
GENERAL REQUIREMENTS PERMIT FEE-----a°j
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.
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 Own
Architect
Engineer
Contractor
D
billy ANT Alit/el.
Address
Address
Address
Address
JY 0 5 4 ��&ob PuJ iKs7 Phone
S 2_12'% 6 "72<5 Phone
go 4 AL .Nail a /eO Phone
1 41.)31}1C Phone
Legal Description of PropertviGive complete descri f deed, tax
zz/-69:6
91,4 -l3
re eipt,etc) �fit� cCLO :Z. C2—
pti n from ee
6 2-e�
t>/ack /S "- 1,1
DESCRIPTION OF WORK: NT Additioq Remodel Moving
Size of Lot
Stories
Rooms
Bldg. Zone ) Fire Zone 3
Gs • 55- 3 S. 5"f` SC / 2-6 . i Z- s � Sewage System Sq.,421-1' L / fonst. J .Z#4''m
Dimensions
61' y 2-g 4t -i- )1' 3(
r., Conc., Br., etc.)
Valuation
l r Total Sq. Ft ] / 4
Baths Basement Foundation Const F -d e
RJ'iCK Fireplace
�� S6 t.
�fl, part, none, _ (kind) (Number
Heat. System Peck f'"CU6=Fype of Roofing l� P ,
Bldg.Use of • i n Imo, n t ✓y
Ext. Finish t"'a J,.- '"i'Int. Wall Finish v."fac
.C. r'
Chimney
PLOT PLAN
I ('
No. of nit Bedrooms 3
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-
tem and water supply lines.
m
NORTH
RESIDENT!
— COMMERCIAL
I hereby
as shown.
m
N
State License No.
2 - 1'L8412—
Ind.
'`1Z
Ind. Ins. Acct. No.
-3 -7q6
REQUIRED C', _
Plumbing Permit C 013 ✓"4-'t
Heating Permit
Sewage Permit '- a r 1r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tify information bmitttyed is correct and there are no other structures located on this property except
io
Owner or Agen
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
r(i 77
Date
CONSTRUCTION COMMENCES.
Your street address will be G
Sewage Permit Number Issued
Remarks
7w
A2 (Cie.-- z � The zone is�i tzi/C.1.i
Building Permit Ma 37,- ReceiptIssued
k7 J—
Form 523 Bldg. Code
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1000 GALLON
SEPTIC TANK
414,.
HptsSE APPRo'
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