1977, 06-07 Permit App: M1753 Residence0 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
N
GENERAL REQUIREMENTS PERMIT FEE 5 i
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 most 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 DP 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 enforbeable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner - e • Address
Architect Address Phone
Engineer Address Phone
Contractor v -6i----- Address Phone
075/72- -/e0/
-4-liffrEaelovrAS Phone 226-o7SJ—
Legal pescript etrope (Give complete deacripti from deed, tax receipt, etc.) Parcel Number
DESCRIPTION OF WORK: New Addition Remodel
Moving Bldg. Zone
Size of Lot /.7-9.1/ h -14,45-1X /7F./'S X eZ-YJ'dA
Stories 1 Dimensions
Rooms _ . Baths Basement r..; l
Fu I. part, none)
Heat. system FR PJer Type of Rootjng
Use of Bldg.
ZFire Zone
Sewage System ..i.rX n Const tr.r m
(Fr.. Conc. Br., etc.)
702. X 3 a Total Sq Ft ?'2R Valuation" 49dn o°
nv�Cnr- .ea Chimney•' tl47Fireplac 2_—
(Number
Int Wall Finish n7e. rt 1/
No of Units _Bedrooms 3
3_
Foundation Cons- n
Ext Finish //
�Lf�r
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.
NORTH
1
State 417 o.
Ind. Ins. Acct. Ne.
RESIDENTIAL - COMMERCIAL
REQUIRED
•
Plumbing Permit
fa Heating Permit
10
Sewage Sewage Permit
Is "
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
• I hereby certify inform lh sp itt�) correct and there are no others uct s locate on this property except
as gyaeo.1
qql1\ Owner or Agent Date/
1/THIS
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BE RE CO STRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be / 0 7/2.
Sewage Permit Number Issued
Remarks
Y7 Ave. The zone is CA* ` 4 -
Building Permit �/111j' ceipt `8/ /Issued
Form 523 Bldg. Code