1977, 12-27 Permit App: M4490 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i
GENERAL REQUIREMENTS PERMIT FEE 59
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 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 i74,-,-,0 � p pp _
Name of Owner Q c 1C- ' . , - '- Address S S. 6 Yo e "ji o'/ Phone! yQ 6 r S /
r i .
Architect Address 7 ?-2-0 y Phone
Engineer Address Phone
Contractor Address Phone
•Z Y 3 3 _ ` � 2
Legal Description Property (Give comp e description�fro d, t iL7iipt �rcel Q/ /
DESCRIPTION OF WOR : New t Addition Remod I Moving Bldg. Zo ( Fire Z e
Size of Lot 7a './(//9d Sewage System �2 �onst.
/� 7 f Fr., Co , Br.' c.
Stories t Dimensions JO X < j 7� 32'Z- lU A`i27ot I Sq. Ft.� Valuation �'r�°�0
Rooms Baths Basement F.// Foundation Const. C°r''`e--�e e / �'� Chimney4SP'��7 Fireplace 2�
7 Ful, part, none) / C(ct� (Kind) (Number
Heat. System 4 - 'C (t4-Type of Roofing DD_a- _ -' Ext. Finish / / // Int. Wall Finish 0147 67 I�
Use of Bldg. .. ....c.-i-1.7.4, 7 .- �J'�c.Q , . a?"--°� y No. of Units—Bedrooms
, -- 9' , /d .r/ .c,,,. Z ,./RLOT PLAN ' `'4
Draw sketch with dime Bions showing: (1) property lines; (2) street or road locations; (3) location of existing and
pr."osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
ifPI NOR H2 State L No.
( m r / oL Ind. Ins. Acct. No.
j.., 4
', RESIDENTIAL COMMERCIAL
,' 4. REQUIRED
Plumbing Permit
.
in Heating Permit
no t 01
to s r Sewage Permit
Plans Received
I
Plans Checked
AI r Plans Returned
,, I-0 Plans Picked Up _
r Plans Mailed
./'lir Vir fr'or —
I hereby cer fy information subm s corr ct an there are no other structures/ located on this property except
as showp.^ �� ....�trfi / '� — 02 ,7 ' 7
x ._
o� Y'1 c —G
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
�� ii 0
street address will be .• l i /S 7 -
The zone is
Sewage Permit Number Issued Building Perini /Receipt/'l,h Issued
Remarks
Form 523 Bldg. Code