1977, 03-24 Permit App: M0071 ResidencecintY P of Spokane, Wastn ton
9
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 any
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. Nater 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 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
Address .57::; :3 /. s Phone 9a 41-3°W7
Address Phone
Address Phone
Address Phone
-.4:t-/1.--.4--172,/ ,/,( Zi4/4 y/ —9,01/7
Legal Description of Property (Give complete description from deed, tax receipt, etc )
%. O 7- 9 , JZle( /f �` GGt11� 6.,e2 --------_e_/ `
DESCRIPTION OF WORK: New )4 Addition Remodel Moving Bldg. Zone —/ Fire Zone
Size of Lot 96 )( ) 00 Sewage Systemonst.
(Fr., C Br., etc.)
Stories Dimensi n �y 026 X / 0 d -ti it e- Total Sq. Ft. 1g--36 Value ?)J� 7/e6)'
Rooms t� Baths Basement ��/ (2-e't--�'
_ Foundation Const. J Chimney fi•replace -
///--- (Full, part, no / / (Kind) �
(Number
Heat. System ,G 4 rig Type of Roofing-c�,�f�it-?� Ext. Finish, / - //( Int. Wall Finish Le
Use of Bldg. 1 � tr �� Z44& y�� F.%' DJo of Units _ Bed ms
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.
-Ili NORTH RESIDENTIAL COMMERCIAL
m
I hereby certify infor
as shown.
SOUTH
sub itted is correct and there are no other structures located on this property except
Owner or" --gent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0171 -'pi ,
Your street address will be //57 4 / The zone i
Sewage Permit Number Issued Building Perini Receipt '
Remarks
DO NOT WRITE BELOW THIS LINE
ued
Form 523 Bldg. Code