1977, 11-23 Permit App: M4238 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 07i
GENERAL REQUIREMENTS PERMIT FEE 30
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 must 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 y/
Name of Owner .��/�% c.-1 ��'C i/Ll n.A Address '7# 0 a // Phone W4 /3
Architect Address Phone
Engineer Address Phone
Contractors/C', Address Phone _
L gal D script of Prgpe�c:sie�(Give co desc�7nfrorndeed.,,xerecept etc.) Parcel Number ,��1.�-3� —/�f.LS
DESCRIPTION OF WORK: New " Addition Remodel Moving Bldg. Zone ___/__ Fire Zone
Size of Lot ,,. X /3 j Sege System Sc'2 t r C Const.
X 6'X/D (� �/ Fr., Conc:, Br.,etc.)
Stories Dimensions t�V 3 �t'tr Total Sq fit, Valuation 044 °00 '
/
Rooms 5' Baths_ Basement fid 11 Foundation Const. C.t)A_' VC C, Chimney "'^ Fireplace --'1.(Full, a none) / (Kind) (Numbe
Heat. System E1tC Ld/C /�e of Roofing C/)Jy1A . Ext. Finish III( SicI jj i, Int. Wall Finish
Use of Bldg. �t'S,-C174/ll C c1 / tI 4j_,, +�.o _ 1 No. of Units Led oms
PL T 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.
-S d ,-•, State License No.
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C+ dr, /
�v RESIDENTIAL—COMME0All
REQUIRED
•
'I-. Plumbing Permit
inG Heating Permit
44 1 4 _ ____—_�, ___._ __ Sewage Permit
0
I I
Plans Received
1
o Plans Checked
Plans Returned
._. __ _ ._____._______�____._____ Plans Picked Up
ll
q Plans Mailed
I
/, tii STM So / A
No rte,
I hereby certify information itted . c.rrect and there are no other structures located on this property except
as shown. i-----
— - - , / // --.73 -- 77
/;/' /
' -Owner or Agent Date •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /
`c? ll%�i t `1 ` The zone i /�
Sewage Permit Number Issue Building Permit pi, Receipt 07/Co Issued
Remarks
Form 523 Bldg. Code