1977, 04-18 Permit App: M1241 Residence# 216
C&tY Spokane, okane, Was gton
P
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE -----__T" _•_00
'4 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 4
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 326 So, Pines Phone 7-3380
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 5 Block 14 Early Dawn 2nd Addition
Parcel # 26542-9018 portion of
DESCRIPTION OF RK: e X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
X Y14—irreg septic frame
Size of Lot Sewage System Const. f�
1 27 x 36 2 X �6p> r�0 Fr.. Contion 37r9_� .00
Stories Dimensions Total Sq. Ft. Valuation
2 u concrete masonr 2
Rooms Baths Basemen Foundation Const. Chimney replace
Full, part, none- (Kind) (IVy�r�ber
Heat. System elec Type of Roofing COMP Ext. Finish frame Int. Wall Finish drywall
Use of Bldg. sing a family residence W/dbie att. garage �-�fNo. of Units._Bedrooms
PLOT PLAN (it ��' w ( C� �( A v
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; (5dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. --
NORTH RESIDENTIAL COMMERCIAL State License No.
Ii Ind. Ins. Acct. No.
4A
-4
See Attached Plot Plan
REQUIRED
Plumbing Permit St6ye White
in Heating Permit Wayne SMith
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify . formation ubmitted is correct and there are no other structures located on this property except
as shown.
i
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
40 DO NOT WRITE BELOW THIS LINE
Your street address will be/ ✓� --� �'� 1
�-.. � � ' � 'x_" The zone is AC1-i�c 2��C�.-�:��L%is't.�=-• -
Sewage Permit Number Issued B ilding Permit Receipt ' �fsued
Remarks
Form 523 Bldg. Code
7
/0 7— S' - x'.0 o C Ac /V