1977, 08-10 Permit App: M2758 Addition Canty of Spokane, Wasinngfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Ial CY
GENERAL 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 )e
I
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. i
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
i 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 ?9 0 3.7
Name of Owner SIDS 1 'p9T1 Address E/S3t6 /2 ?k Phone GrZ8--%r*?y°
Architect Address Phone
Engineer Address Phone
Contractor , --•a2- 9'..--Q Address /` Q-----e`i'l--4 _ Phone
Legal Description of Propert (Give complete description from deed, tax receipt, etc.) _ Ov or,^O G A . /d' 6 VZ/L G..,
DESCRIPTION OF WOR • New Addition �/ Remodel Moving Bldg. Zone / Fire Zone
Size of Lot T� � n �.�. J Sewage System ` t l Const. F4 -4---
e _ (Fr., ConrBr., etc.) dam.
Stories_.._Dimensiionns / X 02 / .Total Sq. Ft. S Valuation �� 0
Rooms r Baths./V° Basement_V o Foundation Const. Co/VC/Elk', Chimney /142714--Fireplace
F-,./1-0 .. ....,,.
(Full, part, none (Kind) (Number
Heat. System t.11 /- 4•_T e of Roofing C Q m Ext. Finish -0 O' Le Int. Wall Finish O `� w 4
Use of Bldg. a-00C tom !w ./LL.A�: c-t • C3 - No. of Units_Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distancg�,to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. �j
2 'NORTH RESIDENTIAL COMMERCIAL2State LicenseY No.
3..u/
r----,4-, - 2 3 div
if 1 Ind. Ins. Acct. No.
30
,/'
A REQUIRED
_ ,, Plumbing Permit
Att NZ'
P t - in Heating Permit
N Sewage Permit
\. (lin •
\ Plans Received
0 30
Plans Checked
Plans Returned
1-x'
Plans Picked Up
W -, Plans Mailed
f SOUTH
I hereby cert'!y i for, :tio, s 'ted 'correct and there are no other structures located on this property except
as shownO` 4-- j
�'!ii I L �.. ./ iii `r
• ner Vegent Date
A LAND USE OR STRU TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
C i
Your street address will be /JQ i.- 5 The zone .f` i `
Sewage Permit Number Issued Building Permit Receipt ssued
Remarks
Form 523 Bldg. Code