1977, 11-18 Permit App: M4292 Residence• _-.. •
Clay of Spokane, Wasllgton
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.
WATER. Water 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 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 DP 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 andior 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 �BBEL��OgqW�� THIS LINE
Name of Owner �A' - - u Address/�.�Lsr_I/P'Q424/P Phone W, A's4'/
Architect � Address Phone
Engineer Address Phone
Contractor 3 4--4fa"-Address Phone
Lege) De}cription of Property (Give complete description it deed, tax receipt e¢) . /
{t cc- ?q - l3Pn c-. 2 - /%r1Qo,v 7C•IT I<s s c"t ! - a `� - `� k1
DESCRIPTION OF WORK: w ` Addition Remodel Moving Bldg Zone-. Fire Zone 3
7 X N90
Size of Lot 9
's
Sewage System- nilk Const. '
r., Conc., etc.) ca
Stories / Dimensions 30 gt 70 Total Sq Ft.Z/° Valuation /✓-'',
X
god
Roc.na G Baths 2— Basemeni/( Foundation Const. e stag. ChinneyPFA-6 - Fireplace }-
ri —Will, part, n ,qp ll (Kind) ,po Number
Hest. System Fj�Ir' - I Type of Roofing Ln..e 0 Ext Finish& J(± 2RN t Wall Finish CX/v. dd
Use of Bldg. KCS rcLf-Na ^-/ a0 ^ _Ai V- d 'G 4 .et f� Na of Units /Bedrooms 3
a PLOT PLAN
Draw sketch with dimensions shoving: (1) Property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; i5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL - COMMERCIAL
State License No.
kE!# -o .2882 1
Ind. Ins. Acct.
,877590—oo-3
REQUIRED
Plumbing Permit
n. Heating permit
to • Sewage Permit
Plans Received f.
Plans Checked
Plans Returned
Plans Picked Lip
Plans Mailed
and there are no other structur located on this property except
/1 �77
Owner or Agent Date
A LAND USE OR STRUC RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / /0 0 g ca (l (4f_yz.f1- V
yQ The zone /1'eqq'��
Sewage Permit Number Issued Building Permit Receipt CX/ -3 Issued
Remarks
Form 523 Bldg. Cade
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