1977, 06-01 Permit App: M1624 Residence, Garage, DeckCgenfy of Spokane. WasIgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1
_?
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 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.
/ ',,/ APPLICANT/FILL IN BELOW THIS LINE 9.4,:117Name of Owner //W (2 O fl YY (ref y (S Address /S0 0 � /6' 4' els- -rcz /Phone y O yCi'�`
Architect Address Phone
Engineer Address Phone
Contractor Address �—
Phone
s( O r
Legal Description of Propefty (Give complete description from,de?d, tax receipt. etc )
6 A. 4•
' arc .e l1=e __ 5"S y? -07/2
DESCRIPTION OF WORK: New 1-- Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lots
Sewage System -5;2r % .%7-onst. %`r "'t •c4.7
Stories Dimensions g <t�l a, 3-k `1--,[.� �� 1
n! �Fr., Conc., Br., etc.) _
X .G1� � / �� T far Sq. Ft 1 T7�" Valuation //✓' �6
Rooms L' Baths `L Basement i 4..-e-4// Foundation Constte'< r"<d C6 -7 C� 'Z
(Fu (1, part, none) Chimney l in ) rrFireplace
/^ �+ 1 (Kind) (Number
Heat. System F/4 G /. a- Type of Roofing Cv >l2 /2 Ext. Finish (-,-"es, 0 Int. Wall Finish _41 r r`d c k
Use of Bldg. r( -Ay- /, '/ca >. , !y 11, ..0-- ,pt,� No. of Units / Bedrooms 3
/J 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-
and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
I hereby ce tify informatio
a shown.
SOU TH
submitted is
0P
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located o this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number IssuedBuil ding Permit
DO NOT WRITE BELOW THIS LINE
Remar ks
The zone
ceipt
Form 523 Bldg. Code