1977, 07-28 Permit App: M2637 Residence—AV zz Conty of Spokane, Washogton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,°i
GENERAL REQUIREMENTS PERMIT FEE ----
Will IT REQUIRED. A lend tied ar structure anrm it ie required by
ucban¢eso l of LOD to land use. erect
a building
lnn moat structure
form of
Any
kind or alter Any building or structure already erected, o to
th the
Spokane County Building Cade and Zoning Dedicatee. Construction is subject to inspection.
WATER. Water supply most 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 Comfy Eoeineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nam. 45-133 and 44.235.
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 most be obtained pertaining to set -back and ingress
.ad are...
CWNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work mess be
performed in accordance with stakes. Points of ingress and egress most be approved by the County Engineer.
MOVING OF BUILDINGS. A permit I. required to move an existing building. When a building Is moved on a Comfy or, State
Highway, clearance rest be obtained from the Comfy 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 dedication. and easements running with the land
which are e.forcenhle through civil action, County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner C' E7,l-IAA_ C Address k-- 4;?I D lAcUi�•4(yZ�'i Sa i GC,I phone
Architect Address At Phone
Engineer Adtlresscy Phone
Contractor CL bol E Ase Address I Rel o2 4+ LZ !Q C0�['6ti None 4:129-QGELI
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone —1 4__ Fire Zane_
Size of Lot 'X� x IMI Sewage System t 4 Const. EQ�
���.r ��11 /I ;"k rs,�'/� Fr., Co..., St.,, att...') ou
Stori..C4Rr 1Dimensions Q4N `f x T f C� Total Sq. Ft. T� Valuation s3 i 0 "
Rooms '.'he___1—, Bpaemenon� Foundation Const. Chimney (N E) First l... H,Dmb0
Heat. System �.8 .� 1 Type of Roofing CC, /ti P E.I. Finish CI nJ UnOD Int. Wall FinishdlWT
Use of Bid,. SLC £ M No. of Units_ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or read locations; (3) location of Astatine and
proposed buildings; (4) distance to property lines acd streets; (5) dimensions of build fogs; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL/st ate License No.
2
�3I d. Ina. Acct. No.
S`E '4.7-fillas
�
as E�
REQUIRED
Plumbing Permit
Heating Permit
wSewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereyys cey�ijys inldl'pa�icp submitted is correct and there are no other structures located on this property except
as shown.; i I ff 1 < � 1 ../__ /__
Owner or Agent I Date'
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
You street address will he
Sewage Permit Number
Remarks
F- 523 Blda. Code
DO NOT WRITE BELOW THIS LINE
/f
I ei � r The zona le
Issued Building Permit Receipt I tied
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