1977, 06-06 Permit App: M2056 MHerr
0
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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GENERAL REQUIREMENTS PERMIT FEE ..:31),
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 most 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 mater 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 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 L1112.—..17-
Name of Owner L . !1—ie2QA
Address �C GI i
ei
Architect Address Phone
Engineera�t �11 ���� Address Phone p
Contractor en.e4 -f-N%..,42/ Address se 502. tilVi�l q Phone J -26—f/ 4b
Legal Descr ion of Property (Give complete description from deed, tax rereceipt etc 1
1.h g efin .Q, 4 ,P YGXipb1 (i -)-Y,J, Ot 2
R -Co49 .-1- /9 65-2 _ /`%o
DESCRIPTION OF WORK: New _Jr Addition
X / 9Lo
Size of Lot
Stories Dimensions /9' /e(n
Rooms Baths / Basement • —m ---
G� a I, part, none)
Heat. System r-.QO.0 0 Type of Roofing
Use of Bldg. �YI_o.st. r� n J'tirm,G
Remodel Moving Bldg Zone74:1
/ Fire Zone
Sewage System4.':Const.
(Fr., Conc., Br., etc.) 40
Total Sq Ft Valuation /0 j Const Chimney Fireplace
_/ (Number
--7 �.,p ��' _ Ext Finish 71I_2.24 Int Walt Finish 1/�cM to to
HA !A'�d,l4#t.ttf No of Units _ Bedrooms
Foundation
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH RESIDEN
AL — OMMERCIAL
I he
as show
SOUTH
certify information submit
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
to Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner or Agent Date
A LAN ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address w111 be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW TH15 LINE
77d/
Issued
Building Permit
The zone i
Receipt 1'1 7 Issued
Form 523 Bldg. Code