1977, 10-05 Permit App: M3647 Residence Cudnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Q.
GENERAL REQUIREMENTS PERMIT FEE 6r
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.
� PLICANT FILL IN BELOW THIS LINE
Name of Owner 55,,"'c t�4U�S,LJAddress . 1104 2hristrias `Free La Phone 5
Architect / Address Phone
Engineer Address Phone 3
a en:c " 'ei o,Aeykane, Washington 99203 535-0036
Contractor mss a phone
Legal Description of Property (Give complete de ip{ion fronC eed, tUiredipt, etc.) lie North 2751 of the East half of
the West half of the Southeast quarter of Section 3( Township 26 North, Range 44 7.',.".2'...,. T
XCa'T
for the 7ast 2401 thereof; situate in the County of Spokane, State of Washington; Together with a
651 easement for purposes of ingress 11 egress 1 installation & maintenance of utilities unon over
& across the West 4- of the Southeast quarter of Sect. 36, Twnsn.26 North, Rg. 444 'M,Spok_ane county
DESCRIPTION OF WORK: N w x Additii n Remode Moving Bldg. Zone —( Fire Zone R W,�
Size of Lot 5Xir',/ C Sewage System septic tan�t oast. game
, ! , gr7_24 (Fr., Conc., Br., etc.)
•V/C3� •f-.10 k z6/1- 30 x3 '42 /. 6 3 i� "'00 000.00
Stories -'�-Dimensions � I Sq. Ft. � Valuation � i
Rooms Baths 3 Basement dart Foundation Const. ��tc__A-41 masonr 1
Full, part, none) Chimney (Kind) y Fireplac(Number
Heat. System heat puma Type of Roofing Cedar shake Ext. Finish Cedar sidinz Int. Wall Finish sheetrock
Use of Bldg. ?.eSidenCe 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 streetsj(5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL)-COMMERCIALte License, ..c4;
/I\ Ina. Inss. ct. No.
I °3
V REQUIRED
7 Plumbing Permit
SU m Heating Permit
m ,____ -<:::_ ?__ 3)
u w Sewage Permit
-I -1
Plans as Received
/I4 PP
h
Checked
' Plans Returned
Plans Picked Up
Plans Mailed
• T
I h reby certify information submittee is corr t and there are no other structures located on this property except
as shows i �� °") II_' , �7/�S✓ /6- 7
- Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUT BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. �=, /O , ( 7
/ /C�/�I`DO NOT WRITE BELOW HIS INE
Your street address will be L- (j/ ' / The/ ' w zone is / 1.toil
Sewage Permit Number Issued Building Permit 1 'i � Receipt 0.2?• Issued
Remarks /
or
/e- f-- 7
, ,,,L,14.,(:: 0,0_2 A -e,,,i6crft-c,e,...____
Form 523 Bldg. Code