1977, 04-27 Permit App: M1240 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 `-d re-
APPLICATION FOR LAND USE OR STRUCTURE PERMIT #249
GENERAL REQUIREMENTS PERMIT FEE 4)40. 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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
kb 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
Name of Owner i : • ' - - T. Address S 326 Pines Rd 99206 Phone 928 3380
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 13, Block 23, EARLY DAWN SECOND ADDTTTON
Portion of Parcel #26542-9018
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 95' X 127 ' Sewage System septic Const. frame
(6o,, (Fr., Conc., Br., etc.)
Stories 1 Dimensions house-27 x 36 garage-22 X 24 Total Sq. Ft. " Valuation 37.950.
Rooms 6 Baths 2 Basement full Foundation Const. concrete Chimney mai3On replace 2
(Full, part, none) (Kind) (Number
Heat. System elec Type of Roofing comp Ext. Finis frame Int. Wall Finish drywall
Use of Bldg. AirthiIff single family residence w/dbl att garage of Units 1 Bedrooms 3
PLOT PLAN / G NiCI ci
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 State License No.
Ind. Ins. Acct. No.
see attached plot plan RESIDENTI —COMMERCIAL
REQUIRED
Plumbing Permit Steve White
RI Heating Permit Wayne Smith
m
v+ H Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correand there are no other structures located on this property except
ash. & Associates , Inc. BY: L )D/ � �A-� 4/27/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,-n440 fr& DO NOT WRITE BELOW THIS LINE
Your street address will be /41,‘5// C(3 /� , C.�,Le The zone is.(1:1444_ SJ21,L44 .
Sewage Permit Number Issued Building Permit I1'1e)Receipt 0 Issued
Remarks
Form 523 Bldg. Code
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