1977, 08-25 Permit App: M3182 MH•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ®6
GENERAL REQUIREMENTS PERMIT FEES!
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 mast 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.
APPLICANT FILL IN BELOW THIS LINE p
Name of Owne Address 5 (r 1570 n --rate., .O.t.(q r./7. Phone '?pc---J/4b
Architect Address Phone
Engineer iir ", Address Phone
Contractor��JZZbf'� Address- Phone
Legal D0.�7dbo Property (Give completefrom deed, tax repel et Parcel Number
/ O J/'1 y �itki�o-f^ iiweX
/5'552 -405
DESCRIPTION OF WORK: New _X Addition Remodel
7M X/3o
Size of Lot
StoriesL_Dimensions /V X &6
Rooms Baths
Heat. System
Moving Bldg. Zone __1-- Fire Zone
Sewage System + U %o., Cronc., Br.. etc.)
sta
Total Sq Ft 91.71-4f Valuation /O/ 000i
Chimney Fireplace —v
. ,t (Number
Int Wall Finish I��1'r-12A-e+
Basement V'' Foundation Const
1, part, none
_ Type of Roofing
Use of Bldg. C'keld-e_iar 4-c'-ste
Ext Finish ehZI.GCC49
CX 2-1-Set.sZGa
No of Units _.Bedrooms a
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.
111
ut
N
NOR Ti
10 Sri/ AVS
130
is
35
Pt
tetex
.-37 --7
SOUTH
7s
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
1.3°
3Q Plumbing Permit
rw Heating Permit
MSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he s y certify information submitted is correct and there are no other structures located on this property except
VG/
as shown
Owner or Agent Date
A LA ' USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
<5i.w WC/Y/0 -
Iour street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
/ e zone le.ilD•di .d.4,I.CL-S'%e2-
Building Permit f Receipt q3 -o/ Issued
Form 523 Bldg. Code