1977, 05-12 Permit App: M1392 ResidenceCutnty of Spokine, Wash@gton
Ga
BUILDING CODES DEPARTMENT, N. 611 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL R E Q U I R E M E N T S PERMIT FEE. ________________________
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.
NATER. 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. 1
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 THISLINE
Name of Owner S 1 <zI- IR-)� Address /: �`4 _' /a r' Phone
Architect Address Phone
Engineer Address _ Phone
Contractor aT&R i 6_1 >_ Address 17--c-1117--c-11DO, rrP - Phone;�'/�1'/
-DP-
Legal Description of Property (Give complete description from deed, tax r ceipt, etc.)
i c , 10 R � f7 1 G.._ . "_ V L V -hAf tS I. l 911h I 0 c, �AX4A-, Pir-r '`,Cw T % (.,14 -
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg�Zone Fire'
Size of Lot X ���� Its. c'>cx� aF� Sewage System T) onst.
�Fr., Conc., Br., etc.)
Stories Dimensions xgc�h Total Sq. Ft.
V luation
Rooms - Baths Basement F(iL�- Foundation Const.Zzes)vC-E —ChimneyK1Y1�?.A3d ire lace
Full, part, none (Kind) p (Number
Heat. SystemE4R-- Type of Roofing -TC-16f!) xt. Finish T) - I I t. Wall Finish U -C
Use of Bldg. ^ 1 �- � :,S C- No. of Units 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
M
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
I hereby certify information submitted is correct and there are
as shown,
m
a
other
State License No.
Ind. Ins. Acct. No.
��- LI-�^
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctures located on this property except
rte A Y IQ. V711
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. _
DO NOT WRITE BELOW THIS LINE r i e�� b �, y2 -�CJ7
Your street address will be ��� �� �,i �j_t The zone is
Sewag Permit Number Issued Building Permit � Receipt Issued _
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