1977, 09-07 Permit App: M3225 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4/
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 and State Health Departments. There work on rater 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 47235.
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 euements running with the land
which are enforceable through civil action. County Officials can not bring action toenforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
h Address
Architect Address / Phone
Engineer Address Phone
Contractor c !f"I C- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number n444/ -9047
Fri/oCK / , Lobb Myron Ps&2r-c P"7
Phone 5ttroTS
DESCRIPTION OF WORK: New t- Addition Remodel MovingBldg. Zone / Fire zone 3
Size of Lot 8.S P.3 X /.30 X 9/,49 .d( /f/,06 Sewage System See tYr. Const fI�,
SPX S�r., Conc., Br., etc.)
iRooms Baths eoli
menaions �'/nX y Total ea Ft .�36 (Fr., Conuation ,5'/fit..)
Stories
Pul18.8Psaertme• nt dation Const Chimite4_4flint Fireplace el" -
Heat. System FA des Type of Roofing t Finish Int Wall Finish nyakt. /./
(Numb r
Use of Bld012..d4V"cnt. .4-c-saarmer0
P".Ar. No of Units —Bedrooms it
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.
to
N
NORTH
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h
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C.1;B3r`�
State [Jeanne No.
DB'.f3CG-/-ra zf3 /3
Ind. Ins. Acct. No.
OK 0,1/ /7/4C
RESIDENTJZ - COMMERCIAL
p REQUIRED
Plumbing Permit
• Heating Permit
It
to Sewage Permit
Plans Received
Q Plans Checked
Plans Returned
• Plana Picked Up
Plans Mailed
SOUTH ,x/74
I hereby.certify inforiinti submitted is correct and there are no other structures located on this property except
nashown. �/) / ,( /'r»� 4-7-77
�A-�OwnneertJor AgentADate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
644.74,4a AA. DO NOT WRITE BELOW THIS LINE
Your street address w111 be//G 2/ 41 7
?Z
zone isyfl /ir412.4;?..Wi
Sewage Permit Number Issued Building Permit Receipt ?to Olf. Issued
Remarks
Form 523 Bldg. Code