1977, 06-01 Permit App: M1625 Residence limn
T .
CentY of Spokane, Wask9
ton
CODESBUILDING
DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
0
APPLICATION FOR LAND USE OR STRUCTURE PERMITc..5-3. —
GENERAL REQUIREMENTS PERMIT FE�J
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.
I 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.
FY/Pia
// d ,,/ APPLICANT FILL IN BELOWTHISLINE p
Name of Owner /- !/ L%c30 Vt/ a4C Y A d7f Address /54a(7 C /‘ PA.,7Y ald71 Phone /21/ or"‘
Architect Address Phone
Engineer Address Phone
Contractor Q 777 Address 54 'zit A- Phone
Legal escription of Prpperty (Give fymplete description fir)deed, tax receipt, etc.) Q /
I/ °7r b,s, r .
/4 rt . , .�Cr
. D n d (.�dd' rie 77
Fa <-_,. I # 2. 55Y 3 - a 701
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone —f Fire Zone I
Size of Lot /40 X /3e)/ / ,y Sewage System 44 / (Fr., Conc., Br., etc.)
y0 /� �✓ :� X AV Tot I
Cee 1 �� Ft.--/-7-1-e-b Valuation 1J`Occ.)
Stories Dimensions / q. Ft.
Rooms Baths Basement u�/ Foundation Const. i / Cc x `—Chimney .r" Fireplace
��(••FF/ull, part, none / (Kind) ,y , (Number
Heat. System,A ` / 4-.Type o/f Roofing )Cd7k,C' / Ext. Finish LA) e 0 d Int. Wall Finish Sod et,ro cit'
of Bldg. 5r -n q /..r 7' -rid s /7 1-'.t-S : d / r+-c tt..�,(1_,f-e.--k,( : No. of Units/Bedrooms 3
�/7 QPLOTPL(A2)P1
Draw sketch with dimensions showing: (1) property lines; street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL State License No.
l9, 79 , 'o• �l " � `ZJ. 3 -0 /
vy LA
Ina. Ins, Acct. No.
.)(
O
REQUIRED
f -•'"�• Plumbing Permit
in Heating Permit
en, -I-6s
Il ` ' g ti
M tt U/
Sewage Permit
d1} VI—
\ d \ Plans Received
r3! Plans Checked
kPlans Returned
6-
.r Plans Picked Up
Plans Mailed
SOUTH
I herebcertify information ubmitted is correct and there are no other structures located on this property except
as showne'lr''X
/
�( / ; ti .�.,u->u 77
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
Your street address will be _ U r �` l 6 The zone is Air
Sewage Permit Number Issued Building Permit /(1 ti Receipt i Issued
Remarks
Form 523 Bldg. Code