1977, 04-04 Permit App: M0675 Residence Basic Job # 112
Cridnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._$48.00
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 lfand
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 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 # 24543-0108
Lot # 8 31k. 1 Rotchford Acre Tracts
DESCRIPTION OF WORK: New X Addition Remodel Moving - Bldg. Zone 1 Fire Zone 3
Size of Lot 150x338 Sewage System Sep Tank Const. Frame
(Fr., Conc., Br., etc.)
Stories / Dimensions 48x24, 30X22 Total Sq. Ft. 133P Valuation $47,000.00
Rooms �j Baths 2 Basement Full Foundation Const. Concrete ChimneyMasonryireplace 2
(Full, part, none) (Kind) (Number
Heat. System F A Elec Type of Roofing Shake Ext. Finish T1-11, Lap Int. Wall Finish Sheet Rock
Use of Bldg. Residence with attached EaraEe 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
to N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
• SOUTH
I hereby rti informs ion s mitted is co ct and there are no other structures located on this property except
as shown.
ti /r 1K/4077
Ownerer or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NO/r4 PERMIT.
)' DO NOT 9TE BELOW THIS LINE
Your street address will be1S /,5'1 // C ' i - The zone is "4-i 61
Sewage Permit Number IssuedBuilding Permit M / I Receipt eSte:l ie Issued
Remarks H
Form 523 Bldg. Code
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