1977, 02-09 Permit App: L6913 MHCanty of Spokane, Washtgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 'Ai .zj
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 OP 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 tA land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
928as
Name of Owner fl / editHa-1-Address7357- S -29D
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete--liidescription/ from deed, tax receipt, etc.) ,�.,SCO/t /9 413 - / 203
kor.� %iLf\ a eu-t pj efiLJ-tJi44 ter £
DESCRIPTION OF WORK: New/._i___ Addition Remodel Moving
Sewage System
Size of Lot 7c'X /60 APR S.er.%-
't
Stories Dimensions a X 7
Total Sq
Roans Baths Basement Not Foundation Const
(
Full p
art, none
Heat. System TTaypaof Roofing -- �� JJ Ext Finish
Use of Bldg. A ../T � 04 ,�GI.AJ.tI�.
•
PLOT PLAN
BIdp^�. Zone / Fire 3
one.
X92aLti Const .:1 -- �rR=. a.L
IFr., Conc., Br., etc.)," o
Ft /'s3(. Valuation 0219,0 01 —
Chimney MA FireplaceMA
(Kind)ember
Int Wall Finish
No of Units _ Bedrooms 2•
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.
-1
NORTH ,'RESIDENTIAL} -COMMERCIAL
ri
1PROPA5So
I -100/A0
IMMO
SOUTH
State License No.
0../41 -7464 --
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce;ytfy information subigitted•is correct and there are no other structures located on this property except
as shown. X
AL
THI
ei yl.1rl,/ erte.
Owner or Agent
z-9-77
Date
D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S NOT A PERMIT.
p.m. a DO NOT WRITE BELOW THIS UNE
•
Your street address will be /4,2 "(Is 01.212.7.1441)." The zone is IP4a „l' '
Sewage Permit Number Issued _ Building Perm 9/3 Receipt ,..C.92 Issued
Remarks
Form 523 Bldg. Code