1977, 10-13 Permit App: M3748 Pool 7
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
:ii) 1GENERAL 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 li e, 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 an 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 Owner f<'�' Th). . :a, ,. i...L .r
Address a /get; et.it. -Y., Phone?_ �-
Architect Address Phone
Engineer � Address ,,��� ✓ �,� Phone
Contractor � /L'�/t `� �� L i F.�� Address , ,1e9:il / 7' 9�, r'`/ phone972‘;-7.5- 2
Legal Description of,PAoperty (Give com ete description fr deed, tax receipt, etc.) Parcel Number `� "_ rr, (
/L / °'- yY,v? Comit /. ii S' j' -`�
DESCRIPTION OF WORK:New. Addition Remodel Moving Bldg. Zone / Fire,pne3
Size of Lot /6 X /S Sewage System fA r SI7:".1 onst./f-'E'•' 1-- -S
(Fr., Con Br., etc.)
Stories Dimensions 7."� ^ "` () _ Total Sq. Ft. .-- / ea- JOf9
J�.g � Valuati
Rooms ' aths Basement Ar-1--Foundation Const. /�T'�(''�,7/'' i Chimney Fireplace �,ii
Fu I, part, none Kin (Nu brfi er
Heat. System ✓ Type of Roofing Ext. Finish � r i/ � Int. Wall Finish --
Use of Bldg. L /iYrvYi -'r /� ~t No. of Units__Bedrooms
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 tate License No.
4.... J Ina. Ins. Acct. No.
RESIDENTIAL— MMERCIAL
D
/5/7/
_ T„,,
Plumbing Permit
wr Heating Permit
N 1,0 H Sewage Permit
ZPlans Received
0 Plans Checked
C1
Plans Returned
APlans Picked Up
Plans Mailed
C5
SOUTH
I hereby certify inft on submittedJ is r t d he -e ao ether structures located on this property except
as shown. Iii % %-
� r/Li /� ✓ _ - ,
.4.,.• r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCE .
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be - , /7° - 64/C"�-e`7-z--s.'-uL, dThe zone is ' N - ( // 1L /
Se �e Permit Number Issued Building Permit c3 Receipt /. Issued
Remirks
Form 523 Bldg. Code
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