1977, 05-12 Permit App: M1394 ResidenceC&ty of Spokane-,- Waslogton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �n 0
GENERAL REQUIREMENTS 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 ingness
and egress. A
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 bG iF't'i 1 rT Fi `-
K I IE4Mress
Architect
Address
Engineer
Address
Contractor co Q
Address
Legal Description of Property (Give complete description from deed, i
DESCRIPTIONF WORK: New Addition
Size of Lot SGx I _-a to- C
Stories Dimensions A2d Se - b
Rooms -(&I— BathsBasement
Fu I, art, none
Heat. System ype of Roofing G
Use of Bldg. ft,'ZfA)C' LC- t �l LA/
one
Phone
Phone
PJtone, :7 &q ;�a -4,6
Remodel Moving BI419/jZone Fir/Zone
,fes ge System 5 E Pr, L �onst.
Fr., Conc., eta.)
Total Sq. FValuation
Foundation Const.. (rl�C� 1 Chimney �:--1�4ireplace
_ (Kind) (Number
�7 S/ 11) t. Finish Int. Wall Finish + 3
R(5:S1bCE Ul _ Va-,.4o , ��` No. of Units 4/-Bedrilms 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.
E1.
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
�1-hereby certify, illf rmation submitted is
sh
1C Z ".�.- �i i1 3° E If d a ' V Al '�
and
State License No.
Ind. Ins. Acct. No.
� (J/_ 0C9
OK
REQ RED
Plumbing Permit
M Heating Permit
D
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be e Z �� / �-/C2,11-11-
Sewage Permit Number Issued Building
Remarks A
Form 523 Bldg. Code
,ures ocated on this property except
/[Q- /77111
,aL
NS CTION COMMENCES.
�cF L�X03 7
i
.The zone is y.
Receipt asued
IIA C 7
East 9323 Firs -I
sphalle, VVIA
10