1977, 07-28 Permit App: M2636 Residence1
4z, , • 6
Anty of Spokane, WasAton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
It
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE -------------- _...........
PERMIT REQUIRED. A land use or structure permit is requ lead by County Basel ut ion to erect a building or structure of am
kind or alter any building or structure already erected, or to change a land use. Construction meet cantor. with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to Inspection.
WATER. Water supply meet be approved by the County and State Health Departments. Where work ma Water connect loos disturba
the surface, shoulders or ditches of County Remus. permission must be obtained from the County Engineer's Office.
SEWAGE STEM. Permit. are required in all cases by County Resolutions Non. 45-133 and 44235.
SET -BACK FROM PROPERTY LINES. In most ...as sad 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
a.d 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 most be approved by the County Engineer.
MOVING OP 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 dedication..
APPLICANT FILL IN BELOW THIS LINE ll ��j-'�a^�
Nsmeoi Owner nLy� V&04 .c Address Mone{gY_a(+t�I
Architect Address Phone
Engineer Address Phone
Contractor lsi0 Ad 4- Address 14 Phone ... %A �!
Lelgl Daeq�'p�an of Property (Give camplah dasaip[ian }rom tlegp, tax receipt eM.)
u1g T Yz of L Ts -R LCL Ji„1jf-Q k �
DESCRIPTION JIWORK: New _ Addition Remodel Moving Id .,Zone Fire Zone-_
size of Lot 5 x lbn' seweffe By
Conan X12.
cc ++�� / ✓ ¢ j� �(FF onc..etc.)
Stories�aDimensiona 32x' :2 Lbw C>ecl T.%ItSI�. Ft. � Valuation 2/,.,0_OI0
Roam -� BaMs Easement Foundation Const. Chimtey IRin Fireplace )JO IF
/� �� ,t (Number
Heat. System �� TYee of Roofing nnLlo_p Ext. Finish QLAO W9228 Inc. Well Finish ?t�f.d ROCt
Use of Bldg. No. of Units _ Bedrooms
ri
PLOT PLAN
Draw sketch with dimensions sliming: (1) property linea; (2) street or read locations; (3) location of existing and
Proposed buildings; (4) distance to property linea and streets; (5) dimensions of buildings; (S) location of sewage sys-
tem and water SUDD11 lines.
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
I
as aha
State Lice a No.
E 236 a- .
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
y'r Sewage Permit
N
Plana Recelved
Plans Checked
Plays Returned
Plays Picked Up
Plana Mailed
is correct and there are no other structures located on this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
Your street address Will be -
Sewage Permit Number '—
Remarks
Fa.m AM aide. cedn
DO NOT WRITE BELOW
me zone
Receipt.