1977, 04-08 Permit App: M1050 ResidenceCt of Spokane. Wash ton
Y P � 9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, YVASt11NGj�N 99101`_/�
?r
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
r 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.
APPLIC NT FILL IN BELOW THIS LINE f'8'"-r't/� ,1c2-0,6
Name of Owner LC G % Address Phone[��9
Architect Address Phone
Engineer Address Phone
Contractor /✓ STS k( C— Address Phone
Legal Descripti of Pr erty (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zong Fire Zone_
Size of Lot � T x / 1� / 7 Sewage System 2i /T/ Qons(Fr.,Conc.,
Valuation 4 D
RoomsBaths Basement Foundation Const. P L r'P Chimney kOy Fireplace - -
n J Full, part, none) - (Kind) n (Number
Heat. System 4f1 .�r Type of Roofing O S� a X-e� xt. Fi �sh I ��� Int. Wall Finish ,Z `'%�L--
Useeooff Bldg. . No. of Units Bedrooms
`4'�' 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. ----_.
(RESIDENTIAL-
SIDENTIAL- — COMMERCIAL State License No.
14:
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
I" Heating Permit
30
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce tify informs io s witted is correct and there are no other structures located on this property except
as shown.
o Agent Date
A LA USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS NOT A PERMIT.
-, DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is 1Z e.-% ✓��
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks _ --
W,