1977, 01-30 Permit M4682 Residence, Garage•
County of Spokane, Washington
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 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 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 1s 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 77 r� ' / /
Name of Owner
} • .� �I e.,✓_ �, Address 1.3 i ���.vV 1�� Phonegz4- s res
Address Phone
Architect Phone
Engineer Address
j IO W'i Address J Phone
Contractor / /` H <f Hz - q4 & 6 - g.04-, 7
Legal escr tion of Property I v compl to description from deed, tax receipt, etc.) P rcel Nu her
IS, z z. � c ' 2__ tip, /1 ��oJ s $4- L-
DESCRIPTION OF WORK: New v Addition Remodel — Moving Bldg. Zoe �— Fir3.one .---.5Size of Lot 0.)0 Sewage System Const.-4 i' r.' e
��tt2y74 Fr., Con.W Br., etc.)
Stories I Dimensions /�
c� X. 3 Total Sq. Ft. m� ValuationTT (120 S
-� J 1 6. c..K>C- we�� Ji Ire lace
Rooms Baths Basement Foundation Const Chimney Kind) p (Number
(Full, part, none) d o� / /
Heat. System ('_%4-- Type of goofing C.: 'lam" 1t 4th4c{xt. Finish 77- i/ Int. Wall Finish 1 1"J �(f
Use of Bldg. 714 4.5.E d R 2 S , <- a 2%-I b i r�L E if.L- t d �d �v .4�t Q. No. of Units —Bedrooms
, / i/•*' Fj N /SM,E17 i AI C3/4S.Eiv/.E/V 7-
PLOT PLAN
prolinerty es andlstreets; (5)reet or dimensions of buildings;d locatins; (3) (6)locatin locationof ofexisting
and
sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
as
r-,izRer
NORTH'
Hiner
SOUTH
correct and there are no other structures located on this property except
State License No.
Ind. Ins. Acct. No.
E( ?l=r do - ;
RESIDENTIAL - COMMERCIAL
Poi_ aN F/�c..E
REQUIRED
I.3
Plumbing Permit fi/R` lie
`.
• Heating Permit
am
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
—3e) 77
gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
2/ 7/P%/4(2_ DO NOT WRITE BELOWQTHIS LINE
Your street address will be / j •2 2 4)�' �� J^U r t ( 69e zone is JA/Yt e., J'Q '
Sewage Permit Number Issued Building Permit Receipt/.9 ?? Issued
Remarks 11`
r___ [79 0IJ.- f...l-