1977, 03-24 Permit App: M0092 Residence Cnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT c c
GENERAL REQUIREMENTS PERMIT FEE f c '
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.
62, / ,L APPLICANT FILL IN BELOW THIS LINE qq0,,
Name of Owner ���f�/� 4//''e/ C/i'�-s -744:- Addressi� � lVAYI ��'e Phonef-91.wY '
Architect Address Phone
Engineer Address Phone
Contractor --- 4-ss•-..-fit_ Address .---4144-1,4‘....4" Phone .50...-a....1...._
Legal
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Legal De cription f Prop Give compppte de�crips on from deed, tax recei t,,etc.l -
,,c, , .—t9 r /la c t9,1 : c'►rt{ate / Stadtee474.,; ` ,e.c / '
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DESCRIPTION OF WORK: New� r �Additio Remodel Moving BI Zon Fire Zone
a ✓ �z
Size of Lot � X �'�+�� /ja Sewage System • �Fr�sCofic., Br„ etc.)
Stories L Dimensions )i � W -1,.2-X9-4 1 T✓ s2 iAA -Total Sq. Ft� Val ationa.5 a,e66
Rooms 5 Baths IlBasem non Foundation Const.. opt Chimney Numb
_Fu Pa e) ` /� y�
Heat. System)9 .,Type of Roofing Ext. Finish Int. Wall Finishidly e
Use of Bldg. ty s Y4".--r---.4..—c1).?. /3 ',[/`.e ,4p ,Z.4.Q� _ No. of Units I Bedr000ms pa
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 sewa:e sys-
tem and water supply lines.
NORTH RESIDENTIAL—COMMERCIAL State Lice .e No.
St- 1 //e,,.. ., 3 z4,/
0
,ice I Ind. Ins. Acct. No.
F
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I1
'I -2-f��f 1j REQUIRED
Plumbing Permit
4V Li
tie
in Heating Permit iii
m 117. a L L1iL�
N N Sewage Permit L-f�i�
i
1 Plans Received
[! Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb ertify informati submj.tt ' correct and there are no other structures located on this property except
as showail B /� 7
f()ri /7
orAgent Date /
A LAND USE OR S UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/ DO NOT WRITE BELOW THIS LINE
Your street address will be /44/4 3 -.rtA The zone is
Sewage Permit ��ber Issued Building Permit Receipt Y-11.102 ssued
Remarks 0 / Z
Form 523 Bldg. Code