1977, 08-29 Permit App: M3059 Pool Clinty of Spokane. Wasligton
BUILDING CODES DEPARTMENT. N 811 JEFFERSON. SPOKANE. WASHINGTON 99201 UG
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ....:.I
PUMIT 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 fin ild int Code and Zoning Ordinance. Construction is subject to inspection.
WATER. eater 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 .rom the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nm. 45-133 and 47.235.
SET-RACK 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. Pork 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.
ACCZSScRY 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
yy k ,(�( P �„ 9 y - 1?/.d,- Phone9-21- -3.-/--(23:1
Name of Owner J2L.a- -Q<�.tr- Address _
Architect Address Phone
Engineer __ Address /� Q j� r Phone �� /
Contracts [�T1.�/Q� �- / r�4- � Address to/ a -J►L a `Jae r Phone 141-
Legal Description of Properly (Give complete description from deed, tea receipt. etc.)
Si ,'YS.V.3 - ,T 5/e a. /s.-, 9 - /v LEA s 5/ �L64-e-a, C fwiea J .
DESCRIPTION OF WORK: New "Addition. Remodel Moving - Bldg. Zone _/ Fire Zone 9
Size of Lot /Q ri A" / 3 ti sewage System - Const�u - st
_ � r., c.. Br., ate.
Stories__Dimensions . / 6 YR, Total Sq. Ft. O/'- Valuation kD el as (!t
Rooms .—BathsBasement _ - Foundation Const. - Chimney - Fireplace -
Fu 1. part. nonel (Kind, (Number
-
Heat. System _ - Type of Roofing — Ext. Finish Int. Wall Finish -
Use of Bldg. s2_e2)t.nLre-C44 7 � _._ No. of Units..Bedrooms —
I 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.
NORTH RESIDENTIAL - COMMERCIAL State License No.
Ind. Ins. Acct. No.
REQUIRED
IPlumbing Permit
f --� - 1 in Heating Permit
m I 111
NN Sewage Permit
-t 31
yPlans Received
r Plans Checked
--- It --,C9CC- a 0 7 2 Plans Returned
Plans Picked Up
Plans Mailed
0:r
SOUTH
I hereby certify
�Inf�ormation submitted is correct and there are no other str`u/ctures located on this property except
1 as shown.
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