1977, 04-25 Permit App: M1664 Residence .- �.. ..
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 #229
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $44.00
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. 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 W. R.S. & Associates ,Inc Address S. 326 Pines Rd. 9920A Phone 928-3380
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 5. Block 20 . EARLY DAWN SECOND _ADDTTTON
Parcel # (Portton of 26542-9018)
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone _1 Fire Zone 3
Size of Lot 1nouo 125' garage Sewage System septic ryonst. frame
g (Ff., onc., Br., etc.)
Stories 1 Dimensions 28' X 37 22' X 22' Total Sq. Ft. 1668 Valuation 39,950
Rooms L.Baths 2 Basement full Foundation Const. concrete Chimneymasonr.ireplace 2
Full, part, none) (Kind) (Number
Heat. System Elec Type of Roofing comp Ext. Finish frame Int. Wall Finish drywall
Use of Bldg. single family residence w/dbl att garage No. of Units 1 Bedrooms 2
PLOT PLAN l a iT I h c-7I( 6
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 `RESIDENTIAL — OMMERCIAL State License No.
Ind. Ins. Acct. No.
see attached plat plan
REQUIRED
Plumbing Permit Steve White
* n+ Heating Permit Wayne Smith
in
Sewage Permit
-I -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
as showI nhereby. certify information submitted is correct and there are no other structures located on this property except
W.R.S. & Associates . Inc. BY: �. kvrChQnnlm 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.
61.M DO NOT WRITE BELOW THIS LINE
Your street address will be Br �}j�. 'l 1. � The zone is .1 ,ft
Sewage Permit Number Issued Building Permit Receipt ='� `,!< Issued
Remarks
Form 523 Bldg. Code
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