1977, 08-23 Permit App: M2944 ResidenceCounty of Spokane, Washington
BUILDING CObES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE �O
PFSMIT 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.
TATER. Water supply must be approved by the County and State Health Departments. There work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE OS'I'ER. Permits are required in all cases by County Resolutions Nm. 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. (mere the structure abuts a State Highway clearance must be obtained pertaining to set -hack 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 OP BUILDINGS. A permit is required to move an existing building. When a building 1s 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
w hich 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 «�y y Address i 6.7 >4c 99lo4 phone Peea6 -0 7SS
Architect / Address �— Phone
Engineer Address Phone
Contracts Address Phone
Laqpts�i D�escr prim of Propert Give cornplet description from ded, tax receipt. etc.) Parcel Number 0 y'i/ V/ — 90 Y7
r3o� ��!3L/. /, r` -#.2
DESCRIPTION OF WORK: New Addition Remodel
Size o{{qt 80 ' X /30'
Storie
Rooms
Heat. System]'-..LE(G. Type of Roofing a
Moving
Sewage
24ex Y(5''T
p
Dimensions dr K .ZSR °�� / X/Q
e . m
Bathe aasemt �&2 Foundation Const
Full• part, n
Bldg. Zone Fire R • -
System Const Gni-4
X672. (Fr., t5 c., Br.. etc.) e
otal Sq Ft aluation SS, c%S0=
Chimney 'replace a.(Kind) (Num r
Int Wall Finish
No of Units _Bedrooms
Ext Fi 'sh
Use of Bldg. 11 C�a..a.7i,Lr�✓�
PPLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing an
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
ut
ut
NORTH
0
i
.I
J
got —
SOUTH
I hereby certify informgtion submitte
as shown. 7,742 s
Owner or Agent
A LAND USE OR STRUCTURE PERMIT
THIS 1S NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
l RESIDENtIAL COMMERCIAL
REQUIRED
Plumbing Permit
wt Heating Permit
as • Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana Maned
is correct and there are no other structures``te
es�located on this property except
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE SLOW THIS LINE
�v ///y�� N f2
/ "'� ' `-' � �e zone is r •
v , Receipt 7-Vt, 7 Issued
Tour street address will be .
Sewage Permit Number
Remarks
Issued
Building Permit
Form 523 Bldg. Cade