1977, 04-04 Permit App: M0364 Residence Basic Job # 120
CiY Spokane,of S okane, WasI 9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.44Q_..QO..........
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
lame of Owner Robert A. Long Address E. 11922 - 25th Phone 924-4782
Architect Address Phone
Engineer Address Phone
Contractor Same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel # 20543-9027
Lot # 5, Blk. 5 Sherwood Forest
DESCRIPTION OF WORK: New 3C Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 81X135 Sewage System Sep Tank const. Frame
(Fr., Conc., Br., etc.)
Stories _Dimensions 48x24, 14x22 Total Sq. Ft. 1460 Valuatior$46.500.00
Rooms c_Baths 2 Basement +U11 Foundation Const. Concrete Chimney Masonrfrepiace 2
(Full, part, none) (Kind) (Number
Heat. System' A Elee Type of Roofing Shake Ext. Finish T1-11, Lap Int. Wall Finish Sheet Rock
Use of Bldg. $P_Si (-3 Anne with attached garage No. of Units 1 Bedrooms 3
PLOT 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.
NORTH RESIDENTIAL — COMMERCIAL State License No.
LO-NG-*'R-A246R0
Ind. Ins. Acct. No.
327-551
See Attached plot plan
REQUIRED
Plumbing Permit
m Heating Permit
m
N Is Sewage Permit
.4 -I
Plans Received I
Plans Checked '
' Plans Returned
i
Plans Picked Up
Plans Mailed
SOUTH
I hereby • y inj
mati submitted , correct and there are no other structures located on his property except
as shown. - 4/�7 7
Owner or Agent �� y Date
A LAND USE OR SUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOTAP M T.
f DO NOT WRI BELOW THIS LINE
Your street address will be1 v/ 7 j 0 i4 L, The zone is 'V
1.
Sewage Permit Number issued Building Permit /(11 "f Receipt ?Y-3 Issued
Remarks 11 1
11
Form 523 Bldg. Code
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