1977, 10-20 Permit App: M3798 Residence v
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT '`-A'�-
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.
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 47235.
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.
APPLICANT FILL IN BELOW THIS LINE j42,1499—,04
Name of Owner Valley Construction Address 1004 S_ Ltnnoln Phone 747^54442
Architect Address Phone
I Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number .3-3-. .,."--;----4 f
Lot 15 Block 1, Midilome Additon, Spokane, County, Wa.
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone j Fire Zone---
Size of Lot 87x150 Sewage System corn. sewer onst. - frame
x r/ /4,-;--6:, (Fr., Conc., Br., etc.)
r /
Stories 1 Dimension* 56 X 26 Total Sq. Ft, 1456 Valuation 42,000
Rooms 6 Baths 12 Basement full Foundation Const. cement Chimney brk Fireplace 1
Fu I, part, none) (Kind) (Number
Heat. System e'`ec Type of Roofing Comp/asRh Ext. Finish wood S' Int. Wall Finish drywall
Use of Bldg. single family residence 4(2_,,,L_ .. / # No. of Units Bedrooms 3
PLOTPLAN
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.
NORTH /S-D / State License No.
VA'u-Ec-cz39ST
�t Ind. Ins. Acct. No.
91! 32 2-/41 7--d0 - 7
`�-g RESIDENTIAL-COMMERCIAL
REQUIRED
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art
Plumbing Permit
0 in Heating Permit
en 144 yr • - N Sewage Permit
'4 . ._
...1
NCJ Plans Received
vPlans Checked
11/4• Plans Returned
'
Plans Picked Up
1 i(/' Plans Mailed
‘Y1j'
SOUTH
I herebycertif formation submitt d is correct and there are no other structures located on this property except
as shown. y�
L.%i-C, ` i/GeX- /0//
Z 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 / 7 Lti k; a zone is w/�j/% i� 7 244,f i_t _/
Sewage Permit Number Issued Building Permit Receipt Ca C1.34' _Issued
Remarks
Form 523 Bldg. Code