1977, 10-31 Permit App: M3962 Fire Damage Repair•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..___.._.....
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of spy
kind or alter any building or structure already erected, or to change a land use. Construction must conform alto 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.
COIR/Ty 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 laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
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Name of o Address //. 70/D— / 2 ' Phone
LICANT FILL IN BELOW THIS LINE
Architect Address �� g Phone
Contractor
��
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
67L 6,- 71/aiti 6, C .% J
DESCRIPTION OF WORK: New Addition Remodel t/ Moving B�ld�gZonyy� Fir one --1-
Size of Lot Sewage Systava�y-+.�,.—�syv Co
Fr.. Conc..� /rr� e%%c��.
Stories Dimensions Total Sq Ft. Veluation.l6l�GyGQ.—
Foundation Const. Chimney (Kind) Fireplace(Number
Heat. System Type of ; • ting Ext. Fin' s nt. Wall Finish
d of Units .Bedrooms
Rooms _ Baths Basement —
—IFUII, part, none
yo PLOT PLAN
aw sketch 'ith 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.
no
in
H
NORTH
SOUTH
ubmitted is correct and there are no other structures locat d on th s property except
/0 ..5//77
Owner or Agent Date
ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S IS NOT A PERMIT.
ae ene�o../�i
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
ysr Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plana Picked Up
Plans Mailed
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
DD
The �39‘z"
/ The zone
Building Permit
Recelp
Form 523 Bldg. Code