1977, 06-07 Permit App: M2061 MH•
County of Spokane Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT em
GENERAL REQUIREMENTS PERMIT FEE.3Q..
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 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.
p� APPLICANT FILL IN BELOW THIS LINE ,_..,'/
Name of Owner -�• • � ✓pZ �� Address ,L7 31,0 C �2.gPhone '"moo -��
Architect Address Phone
Engineer Address P ane
Conuacto Address g4 h!%o / p
f M
Legal Des ption of Property (Give complete descrip on rom deed, tax receipt etc )
zflp e l�%fQL/�, srf� Az 7 Lai 3
fa4 t P " /95sz — /gam
DESCRIPTION OF WORK: New /� Addition Remodel
Size of Lot
q% X /.39
Moving Bldg Zone
Sewage System
,^, nn n Total Sq Ft 98.0
Chimney
Ext Finish
Stories LDi mansions )41 4'6,
-4 Rooms y Baths 1Basement —D.__. Foundation Const
ull
_ n F, part, nonce—
Heat. SystemType of Roofing�
Use of Bldg, ,- �7� -L.P, �r+'c-•
int Wall F
Const
Fr., C6nc., Br., etc.) gp
Valuation /tFO'
Fireplace(Number `"
d) (Number
finish /Artty Pit
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
15
1
G'
RESIDENTIAL — COMMERCIAL
7n
to
State License No.
Ind. Ina. Acct. No.
REQUIRED
X30 t Plumbing Permit
rn Heating Permit
Sewage Permit
SOUTH
I heregb certify information submitted is c rrect and there are
as shown. Al
>_/4r
Owner or gent
A LANDSE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
6— 7— 7%
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Tour street address will be / 3/(/ tai �•��r� The zone is V l�-b
Sewage Permit Number Issued YY �_ rr Building Permit/y1209/ Receipt 9 QJ/ Issued
Remarks „1!i
Form 523 Bldg. Code