1977, 06-15 Permit App: M2029 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'�2 9
GENERAL REQUIREMENTS
PERMIT FEE
PERMIT REQUIRED. A land we or structure permit is required by County Resolution to erect a building or structure of ay
kind or alter any building or structure already erected, or to change a land use. Construction inset cmfon With the
Spokane County Building Cade and Zming Ordinance. Construction is subject to inspection.
WATER. Water supply most be approved by the County and State Health Departments. Where Work on water connections dlsturbde7
the surface, shoulders or ditches of County Roads, Permission most be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Now. 45-Mand47=5.
SETBACK FROM PROPERTY LINES. Io most zones aad under most circumstances, a set -beck from the front property lice, of at
least 25' Ss 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 my not be Performa until staked by County Road Department and work most be
performed in accordance with stakes. Points of ingress and agrees meet be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building Se moved m a Comfy or State
Highway, clearance most be obtained from the County Engineer and/or State Highway Department.
ACCESSORY SOIIDINGS. 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-�k,;,p�,�,
Name of Oamer
Architect Address Pham
Engine Address Phone
ConvacAddress (T
Legal Description of Property (Give complete description from deed, tax receipt etc.l Parcel Number
/oT iia '�_ i3t-K.5 sxr_ 10 ?_7�_'.c.ar6�
DESCRIPTION OF WORN: New �� Addition Renodel Moving_ Old Zine _� Fire�Z(m,
Size of Lot 7J %A /,3 ( y Sewage Systems 'l LLL ma[ aJ
at" p6
Stories LDimensions ' ' r Total Sq. Ft Valuation _ nC
Roane -'7- Bedp Baasment Foundation Const. ChiimayA�I�fI,¢ Fireplace N.
I, pert nap 1� G INu er
Heel System ^ -fj.,Q_TYpa of Rmfin9 �A Eat Finish Z / U Int. Wall Finish ' r
Use of Bldg. n.YiAeiri'o. No. of Unita_Bedrooma
PLOT PLAN
Draw sketch With dimensions showing: (1) property lines; (2) street or road locations; (5) location of existing and
Proposed but Id loge; (4) distance to property lines and streets; (5) d imem Ions of build Ings; (S) lonat ion of sewage a"
tea and Water supply lines.
i3
State Lice. a No.
K a Al /
Ind. Io.. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Iieating Permit
Sewage Permit
Plain Received
Plans Checked.
Plans Returned
Plana Picked U1
Plane Mailed
SOUTH
I hereby certify SifformayKm submitted is correct and there are no other structures located or, this property except
'ae shown. ,f.S- !—j OD I !' j
�/
0110+ or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
your street address Will be < �00 L,/ O -The ane in
Sewage Permit Number Issued Building Permit cefpt :1;26� Iasmed
Remarks
Form 523 Bldp. COJ.
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So
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50• i zs I ZS, i 50• � _ � �� G�, 935�1%��g961 ,�
Peer,-ty Descti�pT�or�
Lot 3 and the East meet of Lot 4 Slack 3 Wx,d l�wh P .-Y Add. �.,e Cc�'••;y,k%>.
i
Lot a o.d sT
/- � /, _:;+ . -t stir `- ,s•
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.. ,„,} • � J'j� I� �-A5�`EM�. 1r.r�:N ttvCllhEEitS