1977, 04-25 Permit App: M0843 PoolCanty of Spokaneg Wasllgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201#
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a2
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 qnd 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 an street right-of-way nay 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.
t
APPLICANT FILL IN BCE+LO��W�� THIS LINE 4.44„4, .
99E
Name of Owner l,lnJ P i/�ee i#nAddress LJL�4IL/ 4722 nPhonePhone 71.4--Pitt-my
Architect Address
Engineer,/ p �� ry Address Phone
Contractor �..M1
%�iFaL.(iP �JN.tP.. Address
��� 1.�Q?) 7 - 992.-/e4- Phone 92 9-/96586
Legal Description of Property (Give complete description from deed. tax receipt etc ) .TA. A4' 6.4604•Q - /407
X nT 7 flLe75 -lit late/ attAtedAtC
DESCRIPTION OF WORD: New 'X Addition Remodel Moving Bldg. Zone Fire Zone.3
Size of Lot Ai -beg W-,4 7, 1L,_F O/V7 S.Z443gewago System A/.4- p nst.
(Fr
StorlesM44Dimenamns /2X.2$
Rooms r5/_& Baths Basement 4/A Foundation Const. /VA
Fu I. part, none(
Heat. system''--—.(,U�LW Type of Roofin - Ext. Finish 'Zirertlei
Use of Bldg. e(1 4$ „edit y/
one., Br. etc./4 p
otal Sq Ft. 4o Valuation 6p t7O
Chimney Al Fireplace Nk
(Kind) INurpber
Int Wall Finish 7%_ptlf r
No of Units Bedrooms
//
PLOT PLAN
Draw sketch with dimensions showing: (1), property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH
EVIDENTIAL COMMERCIAL
SOUTH
ed is correct and there are no other structures located•on this properttexcept
I hereby c
as shown.),
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
To
(3) location of existing and
(6) location of sewage sys
State License No.
QK 6A/ F//-5
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
41—as-77
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Perm
Remarks
Ll ///1-66 47rL gt
The zone IISNAG4q& .a.pu_.F a - Cr
Age Receipt nr'l-( Issued
Form 523 Bldg. Code