1977, 04-07 Permit App: M0499 Residencef.
Citify of Spokane. Was gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 98201
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
kind or alter any building or structure already erected, or to change a land use. Construction must
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. Water supply must be approved by the County and State Health Departments. Where work on water connections dis rbs
"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 ingless
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.
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.
/ r1
structure of any
conform with the
APPLICANT FILL IN BELOW THIS LINE
97104
Name of Owner !.0 S ` �� c� al'.L' ^ Address 441' -G �/�4�5 .fA Phone ��a -�-� �
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc ) dee 7 7 — 47 LC'c`k 2-
4 /y/Lc.;,' cs.r;<>-1 , # 7 1ciYlctc :7 0'V'/— 9.0Y7
DESCRIPTION OF WORK: New %< Addition Remodel Moving
%F
Size of Lot / ,-;)e) Sewage System •<lfit11-)L-
psoas L 41204' 6. •
Stories / Dimensions S )c3 a :i9 'pc. Total Sq. Ft .:47-1
Bldg. Zone / Fire Zone
onst. Al �-
trr., C/ie onc., Br., etc.)
Rooms 4= Baths -2B
(Fu(l, asem
part, enont nerL(LL- Foundation Const
)
Chimney
Heat. System 450 /tG C.- Type of Roofing S 1lC--- Ext. Finishi"f2f P1 C -.—
Use of Bldg. j /AI CLL „i D["NCC G2y,4r7 640/6 C
(j PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Fc1DENTIAL COMMERCIAL
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
( a Valuation ��- BBQ
replace
aid)
(Number
Int. Wall Finish
No. of Units _ Bedrooms -3
t C._
•) ,4 r cNt/) ,/oi n!lz-/
SOUTH
I hereby c- information submitted is correct and there are no
as shown.
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit -na °L i W/7Z_
▪ Heating Permit/ ii !/! S'of//M
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
y,/12
Dat
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
°LW- „B, DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number
Remarks
Issued Building
Permit /44414L
The zone is ---ze-e-/
Receipt 3 -Si: / I sued
Forrn 523 Bldg. Code
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