1977, 04-18 Permit App: M1400 Residence# 222
Carty of Spokane, Wasegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 42.00
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
Name of Owner W• R. S. & Assoc Inc Address 3215 S.O. Pines Rd Phone 928-3380
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
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PA'R::CEL # Portion of 26542-9018
complete description from deed, ta's receipt, etc)
Early Dawn 2nd Addition
DESCRIPTION OF WORK: New X Addition
Size of Lot 80 x 125
w
1 %off
Stories Dimension #0 x 28 sets
Rooms Dimension
2 Basement full Foundation Const concrete
Full, part, none)
Heat. System elec Type of Roofing. cOmpOsltlOY)Ext. Finish frame
Use of Bldg. single family reseidence w/ dble att garage
Remodel Moving Bldg. Zone 1 Fire Zone 3
aSewage System septic onst,onc.Br
frame
are rr (Fr., C, , etc.
22 x 24 Total Sq. Ft 1570 Valuation 3$ 950 •
ymasonrK p 2
nne (Kind) ire lac (Number
Int. Wall Finish drywall
No. of Units _ Bedrooms
3
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-
tem and water supply lines.
NORTH
COMMERCIAL
See Attached Plot Plan
SOUTH
I hereby certify inf mation submitted is correct and there are no
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Steve Wbite
rn Heating Permit Wayne Smith
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
%/X/ 4/18/77
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 �i,4G -4/J5 , ,(%,•
Sewage Permit Number Issued Miilding Permit/r1 /4015
Remarks /I
The zone isa,G -f_7
Receipt k F A Issued
Form 523 Bldg. Code
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