1977, 04-27 Permit App: M1081 Residence • I
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 #252
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
t GENERAL REQUIREMENTS PERMIT FEE '53. 00
. PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any I*
• 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
Name of Owner W.R.S. & Associates , Inc. Address s 32h Pines Rd 99206 Phone 92$-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 10 , Block 23* EARLY DAWN sEcUNn ADDITION
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
(Fr., Conc., Br., etc.)
Stories L1 Dimensions 40X30W/offsets garage-24x24 Total Sq. Ft. 2158 Valuation 40.000
Rooms _6_Baths 2 Basement full Foundation Const. ('orlrrPte ChimneljlRSOnryFireplace 2
(Full, art, none) (Kind) (Number
Heat. System elec Type of Roofing COmp Ext. Finish frame Int. Wall Finish lirywaK
Use of Bldg. single family residence w/dbl att garage No. of UnitsJ.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 State License No.
Ind. Ins. Acct. No.
See attached plot plan •RESIDENTIA —COMMERCIAL
REQUIRED
Plumbing Permit Steve White
m Heating Permit Wayne Smith
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct there are no other structures located on this property except+,
as shown,.
& Associates , Inc. BY: L 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.
6-4„, DO NOT WRITE BELOW THIS LINE y
Your street address will be /4(, /s' c" /f �(�,xQ The zone is Jai lea: �T 44""
Sewage Permit Number Issued Building Permit 41/0g( Receipt ,%;'.-ti Issued
Remarks
Form 523 Bldg. Code
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