1977, 02-15 Permit App: L6968 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ry
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
-P IT-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-w.ith_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 surf e, 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
I 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 410
_
Name of Owner _ MQ,Y ' Address _�� ''���i�l Phone 9 -e/— (097Q
Architect Address Phone
Engineer Address Phone
Contractor 4 f] Address . 1,t-tel"--E___ Phone
Legal Description of Propertio (Gi a complete d ription fro deed, tax receipt, etc.) ,
p ( -yrs Ui( -ri4-L ; •= i' ox--
.z
DESCRIPTION OF WORK: New / Addition Remodel Moving Bldg. Zo f =
Fire Zone
`4
Size of Lot l i , / Sewage System t Const. FY
^ �t,� (Fr., Conc., Br., etc.)
Stories Dimensioon�s r( at 1 i c i Total Sq. Ft. V luation
Rooms ._j Baths CT- Basement Foundation Const. ac-t r Chimney i'IcIe Fireplace
Full, part, non )—1.41-- (Kind) pt (Nu ber
�=-1
Heat. System . � Type of Roofin � �Ext. Finish � (44-101� � Int. Wall Finish (44-101 a
�5.� �
r
Ude of Bldg. .-- .1. � (-tet-l�'�� � .- f �, './ No. of Units_Bedrooms
PLOT PLAN
II
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. -------5
NORTH (RESIDENTI�kt - COMMERCIAL State License No.
Ind. Ins. Acct. No.
461/47:Q"\ra-
Plumbing Permit
m Heating Permit
IP
N N Sewage Permit
♦ -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify is r• ��: .o rEPTM 'tted is correct and there are no other structures located on this property except
as seendiiiiaimir�����
Oxine• or A:--nt Date
A LAND USE OR STR • PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
w."'......% 6/if
1 74te/f. 0 DO NOT WRITE BELOW THIS LINE .,,ad.-
f-141
Your street address will be �. 1y ��it The zone is %��.0>,r -?_-f/wb:_ ,�'�!- `_-
Sewage P it Number Issued Bui ing Permi s�, ceipt�- h Issued
Remarks < �z �i1 (,lv/➢C Q-i��iL.i ti =
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