1977, 05-15 Permit App: M1320 ResidenceY Spokane, Cont of S � VI/ash ton ~
P A
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON "20
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ----- t ......................
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of a"
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 OwnerAddress JI t' -,, I i!4V b Phone I - < 1
Architect Phone Engineer Phone
Contractor S Z�,-INN 4t� Address Phone
Legal Description of P`rroperty( ve_c mgt a descrip io� rom dee r -tax rQeeipt etc.
tF�
DESCRIPTIO OF WORK: New Addition Remodel Moving Bldg. -Zone Fire Zone
Size of L t ( r Sewage System `� ' Stories
—�
Const. _��imensions' _ Z r 11� Total Sq. Ft. �� Valuation
(Fra e, oncrete, brick, etc.) 11,T6 QU
Room BathsBasement �1Foundation Const. Cnac, Q Chimney.F fireplace
b r
(Full, part, none) ( ;,,�(Kind) (Num)
Heat. System Type of Ro g � _w Ext. Finish W S-1 C1 C Int. Wall Finish
Use of Bldg. No. of Units I Bedrooms
Garage or Carport At he, Private Detatched
ac
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.
row
N
NORTH
SOU TH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
I" Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereb certify infor\gtion submitted is correct and there are no other str tt rpes,located
10 ;this
(property except
as shown. t�'1hfl V)l �J u�
IOwner Vr Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUC
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
C�� �Y
Your street address will be6 e zone is
Sewage Permit Number Issued Building Permit Receipt
Remarks
N COMMENCES.
For Wig. Code -e -
4 A
�i9/PG ,oy �/y o�i✓.D /V
a
'PO 10
I
GAP, o
/st Ft. 75
ioX,I GqL, /out
Dcc� 157
/6°/1-17''rc«Y,91-
'off a� "
/ira
14
,00 47 /S?�
o 1 Ay
N/sr
3f