1977, 09-07 Permit App: M3273 ResidenceCounty
of
Spokane,
Washington
BUILDING CODES DEPARTMENT
N. 811 JEFFERSON, SPOKANE, WASHINGTON
99201
bb
APPLICATION FOR LAND USE OR STRUCTURE PERMIT #a
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REMUIR®. A land use or structure permit is required by County Resolution to erect a building or structure of any
Wind or alter any building or structure already erected, or to change a land use. Construction most coufa m With the
Spokane County Building Code and gating Ordinance. Construction is subject to inspection.
RATER. Rater supply most be approved by the County and State Health Departments. Where Work of Water connections disturbs
the surface, shoulders or ditches of County Roads, permission most be obtained from the County (engineer's Office.
SEWAGE SYSTEM. Permits are required in all cased by County Resolution- Now. 45-133 and 47.235.
SETBACK PROM PROPERTY LINES. In moat zones and under most cireumstances, s set -back from the front property lite, of at
least 25' is required, . 5' aide 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
std agree..
COUNTY ROADS. Work o. street right -of -Way any not be performed until staked by County Road Department and Work out be
performed in accordance With stakes. Points of ingress and egress meet be approved by the County Reticent.
MOVING OF BUILDINGS. A permit I. required to move at existing building. When a building is moved an a County or State
Highway, clearance moat be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, .beds, etc.) require a separate permit.
gESTRICTIVg COVFAANIS. guilders should check provisions of covenants or dedications and testaments running with the land
which are enforceable through civil acting. County Officials can not bring actio. to enforce covenants or dedications.
FILL IN BELOW THIS
Nome of Ownar Address (n 44C716, -! / dw 1 4 Phone
Architect ,/ Address Phone
Engineer Address Phone
Connector Address Phone
Legal Description of Property (Give complete description from deed, tax receipt. etc.l Parcel Number
"T 7 k?3 K? ur /n7 a
DESCRIPTION OF WORK: New Addition Remodel Moving BidQQ. Zon�e Fire oma
Size of Lot i89 X / 2 r Sewage System �0..�4d6L Conal f -L
Can.., Br., etc.) Qb
Storiesso�fDimensiam Total Sq. Fc HO O Valuation �$T
Ronna .-Baths / Besidwil Fmndatioo Croat. Chimney A//T Fireplace NR
Fu I, pert, mane n��e�e N' on) (Num r
Heat. system 1 �`���ZI,q/i Type of Roofing elLgd . Ext. finish %/// Int. Wall FinisM1 e r
Use of Bldg. LK Afn.C1]2.. No. of Units _Behaoma
PLOT PLAN
Draw sketch with dimension. showing: (1) property lives; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensians of buildings; (6) location of sewage sys-
is. sod water supply lines.
NORTH
SOUTH
I hereby certify information an t
an shown. �� z
/J
Owner or AWw6t
A LAND USE OR
THIS IS NOT A PI
Tow street mddreca will be
Semage Permit Number
Remarks
Form 523 Bldg. Cab
PERMIT
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
an Heating Permit
NSewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plats Picked Up
Phos Mailed
correct and there are no other structures localed on this property except
9- 7-7
Date
r BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
TheWove 1//1aa//�� b�
Building Per , !i7T7 Racal or � aeued — _..
J`M
1
f--15'
ore
�i TI
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