1978, 03-01 Permit App: M5169 Residence 0 lb
Canty Spokane.S okane. Wasagfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / 0GENERAL REQUIREMENTS PERMIT FEE /
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 lana
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner :Obert A. LOng Address _ Phone
Architect Address E. 9 S //2. / 7 Phone 9Le //4'
Engineer Address Phone -
Contractor Same Address Phone
Legal Descriptionof Property (Give complete description from deed, tax receipt, etc.)
Lot , 1:51k. 5 Sherwood Forest _ ,,^ ty/ a 6 S 3 —' O 27
/c,,, c 'y4/ ,- SZ9 '
DESCRIPTION OF WORK: New A Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot Olt 135 1 X 611 /, 13'i5' Sewage System Sep Tank Const. Frame
24 X lig 2 4 X Z� �f al tionConBr., etc.)
O i
Stories / Dimensions Total Sq. Ft. Valuation,'C,).0
Rooms Baths 7,- Basement F'LL Foundation Const.. c one rete Chimney iiiaS On place Z
TFull, part, nonel (Kind) (Number
Heat. System 1' 1�leaype of Roofing Shake Ext. Finish 11-11 Lap Int. Wall Finish Sheet sock
Use of Bldg. )/ ,,�Q� No. of Units j 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; (5imensions of buildings; (6) location of sewage sys-
tem and water supply lines. -"-
NORTH RESIDENTIA COMMERCIAL State License No.
r it
Lo-iNG-%:R-A246R0
Ind. Ins. Acct. No.
327-551
SEE ATTACHED PLOT PLAIN REQUIRED
Plumbing Permit
Y'i
NSewage Permit
Plans Received
Plans Checked
Plans Returned
' Plans Picked Up
Plans Mailed
3/4/7 f 3-...4-4e...
SOUTH
I •reb certi inf/,/mation sub.i.tted is correct and there are no other structures located on this property except
as s'ow� 4 '1 ��� / 31 - 7e
Owner or A �r j Date t
A LAND USE OR STRUCTU • E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS OT A PERMIT.
DO NOT WRITE BELOW THIS LINE /G
E. 9705 10th Ave /(
Youi s . 7 ,y
treet eet address will be The zone is 5'�r
Sewage Permit Number Issued Building Permit Receipt /2- r Issued
Remarks
\, Form 523 Bldg. Code
r
1
•
P'
.1
( , '
1
, j
i
•
? a
t
I
I
.
I
j
_ , N
I , j t
1 _
1
I'
r.1
,
1
i