1977, 12-14 Permit App: M4557 Residence U
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
I APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
—
GENERAL REQUIREMENTS PERMIT FEE.__ 4
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.
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 f
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.
LJa)l-c'e-Z)/v,"7-_ APPLICANT FILL IN BELOW THIS LINE ,
Name of Owner 'IrJ iOL T A Address `L`I/V i); f4"7,,./ z% Phone 9o�L'`'/d9''Z'
Architect Address / Phone
Engineer Address 9 4 0 3 7 Phone
Contractor 2e0/lt'n-1- csv F Address -1-e i' ' 'L'� Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number - ----3__ ..3 e-----C4 l(--
AC 7
Ac'T 1`)/ '_:G- / 5:Lill04rl 1i1/444 y
DESCRIPTION OF WORK: New / ' Addition Remodel Moving Bldg. Zone ( Fire Z e 3
Size of Lot �7 X / ;?..-5- Sewage System i.PTI C onst. ' /\0
I
(Fr., Conc., Br., etc.)
Stories I/ Dimensions .Cs Z /�/*4 � YJ‘ Total Sq. Ft. rS 3 CI Valuation Lf/53-0
Rooms ICS Baths / BasementFoundation Const. ('/)#-1 C V-moi _ Chimney 141/1344-Fireplace Igl,A. e-'
(Full, part, norm ) (Kind) . (Number
LY13
Heat. System Type of R°;f ing / l -, Ext. Finish 7/// Int. Wall Finish a, r",/ c /
Use of Bldg. (.425 I(.+Z '11ie,V /rf'j / ?4c 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) 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.
__, RESIDENTIAL-COMMERCIAL
/ 'Jrne_ REQUIRED
Plumbing Permit
in Heating Permit
in
N TIP Sewage Permit
-I -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
1
Plans Mailed
SOUTH
I hereby cer inf mation submitted correct and there are no other structures located on this property except
as shown.
. ze-- /4//9/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMI UST BE ON THE PREMISES BEFORE CONSTRUCTION COMME1$CES.
THIS IS NOT A PERMIT. i
("Ai DO NOT WRITE BELOW THIS LINE i
Your street address will be E. /S i��� i WS-
/ ezone is S/ .. tr �/C/
Sewage Permit Number Issued Building Permit Receipt 09‘/ Issued
Remarks _ ,
-Tv 155e: .t " " t
Form 523 Bldg. Code
7 v„ LOT 9
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