1977, 09-07 Permit App: M3270 Residence• 41
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ,
4 PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
Y 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. 3
WATER. Rater 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.
SETBACK 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.
APPLICANT FILL IN BELOW THIS LINE g9a/e
Address e- / O / 4tt1 laddit _ Phone c/a2-4 °2 _
Address Phone
Phone
4
Name of Owner
Architect
Engineer ,0Q Address
Contractor Pct4441t- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel. Number
:3S4.2— 6/0/6
DESCRIPTION OF WORK: NewX Addition
Size of Lot 2 ' X /36/
1
StoriesS• Dimensions .-Sk.Sto
Remodel
Moving Blydg. Zone —_/_-- Fire one .�
Sewage SystemC1Qera- const.
/ (Fr., Conc., Br., etc.) d�-
900 Valuation 3000
coney N!¢ Fireplace NA
o(Kind)
(Nu nn er q
Ext Finish 7.-.41/ Int Wall Finish � _,1.f-'����y/Kc,4#
No of Units .Bedrooms
Total Sq Ft
Rooms 1iL Bath8 Basement Foundation Const
�tn� ,-F- Fu I, part. nonen
Heat. System {'tYyr.r i of Roofing (.4-14.1"
Use of Bldg. ..J .[.e
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
,die azra-(-e2-4
State License No.
Ind. Ina. Acct. No.
ESIDENTJ — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information,, bmitted is correct and there are no other structures located on this property except
as shorn.
9— 7— 77
Owner Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOTA PERMIT.
Ozpv 714412,2 DO NOT
- WRITE BELOW THIS LINE
Tour street address will be 11 sib/7 /YGO'�-I etatbc% rn�
Sewage Permit Number Issued Building Permit NI 3e. 70 Receipt 9G9Issued
Remarks
s
The zone is JAZ e..d.<I-4LL.%I(.PA_,
Form 523 Bldg. Code
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