1977, 04-08 Permit App: M2184 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,/4
GENERAL REQUIREMENTS PERMIT FEE i %
1 PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/ 'ii j
1 kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
1 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 47235.
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 f,Urtt'u T'S I ,4
/ m PSS'C.I C' Address I e i'/ f7:1,-;„ne -� e�� T /
Architect Address ..S''D KR e� C Phone
Engineer �� Address / . Phone
Contractor , +��-y�°[:CA e,,' Address Al -i -*6 --,G_ Phg1e
Legal Description of Property,( i0e complete descri from dead)tax ecei t etc.) Parcel�g mber-..(‘�j >�.%'--, I )(.3 f1 c3,5
-
Legal
/0- iv/ PA' 7 d�C7i-fer-cJ 4l cr'., ,es /
1 4-Cr/ .9GJ- O7/,3—
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zong /Fire tZoone
of Lot 2/C�`�t' Lt ICU Sewage System C1)Vi<, onst. F O ..
��� 10 L k' 1 d< , (Fr., Conc., , tc.) y
Stories TDimensions X Total Sq. Ft. aluation
Rooms -6—Baths .:4r uflB spaet none it-Le/1 Foundation Const. C O7 0lee-re_. Chimney (Kind) a FireplaceNu ber,
`� ��// `f of
Heat. System Type of Roofing c.°°) G A�' Ext. Finish OJOO d Int. Wall Finish DL 1
Use of Bldg. (1-y).Q wJ s ) �14 e ly cG ?q. r4 Q e'— No. of Units Bedrooms
F_! /
rj? ,� "" 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
REQUIRED
a
Plumbing Permit r
rwi.
Heating Permit d' wie
rkeZ
mH
.VC / 1�
N / / Sewage Permit
-i /) 666
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1 SOUTH
/ I hereby cert y formation sub fitted is correct and there are no other structures located on this property except )
as shown.
Owner or Agent Date
ii A LAND 14E--OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
�; -l ry,,,Q 2) DO NOT WRITE BELOW THIS LINE
Your street address will be ,31 7 Jt 6 4}-? The zone is d s .
. . . ,
/ . . 4-261}7-
Sewage
,Lt -Sewage Permit Number Issued Building Permit PReceipts'7G,. Issued
Remarks
Form 523 Bldg. Code
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