1977, 04-04 Permit App: M0366 Residence Basic Job # 119
C my of Spokane, Was gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.$51...5.0
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 ingrt'ss
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must,1)e
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 :).6.0
Name of Owner Robert A. Tong Address E. 11922 - 25th Phone 924-4782
Architect Address
E4gineer Phone
Address Phone
C3,ntractor Same Address Phone
Lf.gal Description of Property (Give complete description from deed, tax receipt, etc.)
t Parcel # 20543-9027
Lot # 23, Blk. 6 Sherwood Forest
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone '3
Size of Lot 74x150x48x59x125 Sewage System Sep Tank const. Frame
(Fr., Conc., Br., etc.)
Stories jDimensions 267'52 24.X25 Total Sq. Ft. 2024 , 55 t000.00
Valuatio •
Rooms 5 Baths 2 Basement 111,111 Foundation Const.. Concrete Chimney lasonry 2
(Full, part, none) Fireplace
(Kind)
Heat. System F A Elec Type of Roofing Shake Ext. Finish T1-11, Zap Int, Wall Finish Sheet Rock
Use of Bldg. Re Sid ence with attached garas;e No. of Units 1 Bedrooms 3
.4/1------ PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2)
street or
proposed buildings; (4) distance to property lines and streets; (5) dimensions ofof bud ildings; ((6)3) llocationocatinof ofesewagegsyan
s-
tem and water supply lines.
NORTH RESIDENTIAL—COMMERCIAL State License No.
LO-NG-*R-A246R0
Ind. Ins. Acct. No.
327-551
See Attached plot plan
REQUIRED
Plumbing Permit
r+ Ill Heating Permit
tnTo
...Itn Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
eSOUTH
I hereby cert y "n!pro •, sub " ted i orrect and there are no other structures located on this ro rty exc it
as shown. ,
Aice
Owner or Agent , f 27
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE Date i
THIS I ,NOT A PERk1f T. PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be 9676 C/ 6 it'
The zone is /�
Sewage Permit Number
Issued Building Permit-27/ ( 4LReceipt 1:1'1' Issued
Remarks
Form 523 Bldg. Code
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