1977, 04-27 Permit App: M1078 Residence r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 #256
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.4114.44.0.0
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=147.235.
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. Sc Associates , Inc.Address S 326 Pines Rd 99206 Phone 928-3380
Architect Address Phone
Engineer Address Phone
Contractor t$1fP Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lnt h, E1 nr'k 23, EARLY DAWN SECOND ADDTTTON
Portion of Parcel #26542-9018
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 5' X 127. 21 ' X 95' X 127. 11 ' Sewage System septicConst. frame
(Fr., Conc., Brz, etc.)
house- 4 x 26garage- 24'x24 1460 36 500
Stories �� Dimensions 3Total Sq. Ft. Valuation
Rooms • Baths1 Basement full Foundation Const. concrete ChimneymasonrIireplace 2
—1Tiii I, 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
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 COMMERCIAL State License No.
Ind. Ins. Acct. No.
see attached plot plan
REQUIRED
Plumbing Permit Steve White
m Heating Permit Wayne Smith
to N Sewage Permit
H .4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct a there are no other structures located on this property except
as Shown. (� 4/27/77
W.R.S. & Associates , Inc. BY: �,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.i
THIS IS NOT A PERMIT.
-,,r, (6,414) DO NOT WRITE BELOW THIS LINE
Tour street address will be / '/(,/) P g'. /7,?-1- '' ,,Z-�r_ I� 1 The zone is -{ t,z,` 4./.G4
Sewage Permit Number Issued Building Permit f'J�✓ Receipt S"'-'. Issued
Remarks TT f �� .
Form 523 Bldg. Code
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