1977, 09-07 Permit App: M3274 Residence0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
v
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3� ai
GENERAL REQUIREMENTS PERMIT FEE ..----------- _.____..
PERMIT RNUIREI. A land we or structure permit Le required by
County
uouse.
Resolution erect a building
or ennctstructure of whyhe
kind or alter any building or structure al reedy erected, oochange
Spokane County Building Code and zoning Ordinance. Construction is subJect to Inspection.
WA=. water supply most be approved by the Countyand State Health Departments. Where cork onwater connections disturb.
the surface, shoulders or ditches of County Roads, permission Duet b, obtained from the County Roglneer's Office.
sERAGg SYSTEM. Permits are required to ell cases by County Resolutions Now, 45-133and47235.
SET -SACK FROM PROPERTY LINES. In most zcoca and under most circumstances, a set -back from the front property lice, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
SIAM HIGHWAYS. (mere thestructure abuts a State Highway, clearance meet be obtained pertaining to net -back and Ingress
and egress.
COUN'1'y ROADS. Work on street right-of-way may not be performed until staked by County Road Department and Work Ment be
performed in accordance With stakes. Points of ingress soil egress West be approved by the County Engineer.
MOVING OP BUILDINGS. A permit 1s required to move an existing building. When a building is moved nn a County or State
Highway, clearance meet be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
ggRYRICrIVg COVENANTS. Builders should check provisions of cove ... is 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 9q216
Name of Career
r_T
Address f' 47",,'J Phoria
Address Phone
Engineer Address phone
Contractor /I Address Phone
Lepel Desorption of Property (Give eomplete description from deed, tam receipt. atc.l Parcel Number d 9
DESCRIPTION OF WORK: New X Addition Remodel Moving Sid. Zon �— Fire a . -
j
Size of Lot sewage System �onat
f � � Fr., Loons.. &.. to.) O 0
Storie35� Dimensions t 2X O Total Sq. FLS/b9 Valiatian l.ILCi.Q_
Asoma 5 Bath. // Basement Foundation Const. Chimney IV. F1 Fireplace N A
SII, pert, none (Kind) (Neal er
Heat. System Type of Rooting Mn E�t. Finial, 7--IJI Int. Wall Finish
Use of Bldg. ter p .I.r'Qi i-L/l�� L! 11 A.!' �0'B No. of Units _BeJooms
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 Droperty lines and streets; (5) dimensions ofbulldings; (6) location of sewage sys-
tem and water supply linea.
Sys'; NORTH Bono. Ltc.... N..
/ Ind. In.. Acct. No.
CRESIDENTIAh-COMMERCIAL
REQUIRED
Plumbing Perm
Heating Permit
Sewage Permit
Plans Received
Plans Checked .
Plaos Returned
Plans Picked UL
Plans Mailed _
SOUTH
I hereby certify information submittte 1 correct and there are no other structures located un this property except
as shown. w .! L.// 9- 7-7i I
Owner or Asset Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
21,4,,_ E DO NOT WRITE BELOW THIS LINE
Tour street address will be .2/ 1T The zone is /Cs�
Seuge Permit Number Issued Building Permit/ WecFlirt Issued
Remark.
Form 523 Bldg. Cods
610�
iAt ELL 2
yyfi r sei RU,Cion
t . n r Clt0 t„t
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