1977, 04-25 Permit App: M1074 Residence-r — —ger- - -,IF ,
Ce.aty of Spokane, Washington
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 #233
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $40.00
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. Ar,cessory 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. 326 Pines Rd. 99206 Phone928-3380
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 16, Block 19, EARLY DAWN SECOND ADDITION
Portion of Parcel #26542-9018
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 58.88 h�'s �. 94 x 50.07' X 125 Q ' Sewage System Septic oust. frame
VU age (Fr., Conc., Br., etc.)
Stories I`Dimensions40 X 26 w/offsets 22 X 22 Total Sq. Ft, 1459 Valuation 37,950.
Rooms 6_Baths—._1—._ Basement Foundation Const. t F=onr=rete ChimneyIPS S nn ryireplace 2
(Full, part, none (Kind) (Number
Heat. System elec Type of Roofing comp Ext. Finish frame Int. Wall Finish IIrywal 1
Use of Bldg. single family residence w/dbl att garage No. of Unitsl 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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH L SIDENTIAL COMMERCIAL State License No.
Ind. Ins. Acct. No.
REQUIRED
see attached plot plan
Plumbing Permit Steve White
* m Heating Permit Wayne Smith
m
N N Sewage Permit
.,,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed 8
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SOUTH
I hereby certify information submitted is correctran&there are no other structures located on this property except
as shown. 01
W.R.S. & Associates , Inc. BY: �..�orntCl2, 4/25/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0.M 14,(A 42 DO NOT WRITE BELOW THIS LINE ,Q
Your street address will be ,�' ,." r, /`(L(��//�11``` �� The y�ne isXJ�(l�'- .tai �
Sewage Permit Number Issued Building Permit/U) )d o, Receipt .?f''7( Issued
Remarks II(/
Form 523 Bldg. Code
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SEND PARTS 1 AND 3 WITH CARBON INTACT-PART 3 WILL BE RETU% ED WIT REPLY
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