1977, 10-17 Permit App: M3946 MHb
e
County of Spokane,' Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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.
RATER. Rater 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 49.235.
SET -RACK PROM 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. Rhere the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street eight -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.
Name of Owner
Architect
Engineer
Contractor
APPLICANT FILL IN BELOW THIS LINE
99ao7
4 P4? % C. Address KO, 8sX 6//7d' Sparre/aia.
Legal Description of Property (Give cos to d
/ars aha
Phone
66go
Address Phone
Address Phone
Address phone
emu' [ion from ed, taz receipt. et areal ber 0 YV22
02/ U
DESCRIPTION OF WORK: New Addition
Size of Lot d / 1 x
Remodel
MovingBldg. Zoe} / Fire Zone
Sewage System -SP� • y (— oust. a'
rse-/ Ft....
Stories Dimensio s
Rooms Bath re,
4/0A/0 --"Foundation " Const
Heat. System Fre, Type ofpegofing / l e roc-/
Use o1 Bidg. o al• Az-a.e
6' r 7 O
3_
Total Sq Ft76
/7 Fr., Conc.. Br. etc.) p�
V Valuation a oo
4/a r
um
Chimney �f)�/'-Fiirreepplac ;
Int Wall Finish J Q44Q7/�?
/(Kind)
�inish /len.
acr.02 No of Units IBedrooms
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.
NORT4I'7�
I hereby certify information submitted
as shown,
Gang or A$nt
A LAND USE OR STI; PERMIT MU
THIS IS NOT A PERMIT.
tow
ind. Ina. Acct. Na.
COMMERCIAL
Alle
IRED
Plumbing Permit
ee Heating Perndt -
Sewage Permit
-1
Pians Received
Plans Checked
Plans Returned
Plans Pleked Up
Plans Malted
s correct and there are no other structures located on )t is operty except
Tour street address will be
Sewage Permit NuAber Isebed Building Perm!
Remarks
'10- /7 -
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE /
7
I Rece
zone
ip o/
CCS U w Y- 77
523 Bldg. Code
ssued
/I