1977, 04-27 Permit App: M1663 Residence ju
County of S okane Washinnton
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BUILDING CODES DEPARTMENT, N. 11 JEFFERSON, SPOKANE, W SHINGTON 99201 C✓
APPLICATION FOR LAND USE OR STRUCTURE PERMIT #255
GENERAL REQUIREMENTSPERMIT 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. 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 99206 Phone 928-338n
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
Lot 7. Block 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 95'x 127. 31 ' x 95' x 127. 21 ' Sewage System septic Const.frame
pf (Fr., Conc.. Br., etc.)
Stories 1 Dimensions house-27 x 36 garage-22 X 24 Total Sq. F. 1 �v0 Valuation 37.950.
Rooms 6 Baths 2 Basement full Foundation Const. concrete ChimneinasonrYFireplace 2
(Full, part, none (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. o 1 is Bedrooms 3
PLOT PLAN / D)-t Lict 6e-
Iff
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.
I ESIDENTI t 5OMMERCIAL
see attached plot plan REQUIRED
Plumbing Permit Steve Whit e
w, Heating Permit Wayne Smith
ut Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct d there are no other` pstructures located on this property except
as shown. ON1�11r�JLl V
W.R.S.
& Associates , Inc. BY: l_,� ie� �criN 'x/27/77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c3iu. 744. - O DO NOT WRITE BELOW THIS LINE /
Your street address will be /Ail 7, /4 / %,j G ��';,t_4._ I 'fihe zone isk'(f c _ `
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code
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