1977, 09-25 Permit App M3488 Residence, GarageCanty of Spokane, Wasiegton
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. 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.
Name of Owner
Architect
Engineer
Phone
Address Phone
Address Phone
Address
Contractor
Legal Descriptioq.off Pao erty (Give complete description from deed, tax receipt, etc
If). :3/D / rY -
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DESCRIPTION OF WORK: New aw Addition Remodel
Size of Lot ' " A' 23
APPLICANT FILL IN BELOW THIS LINE
6A/, Address
Moving
Sewage System
Stories Dimensions o A
N..,
t9 36.
Rooms -% Baths- Basement �k-l-L Foundation Coma (Full, part, none)
Type
Use of Bldg. �5 '—
Heat. System
Phone
e •'r!.3 a' d o= c,
c e/a-7`
? N ,
Fire Zone
�7-+�onst. ,,Pp
(Fr., Conc., B`etc.)
rgx �- 3� Total Sq. Ft i9o� Valuation 1_, cob
Chimney' Fireplace
(Kind) iz (Number
II
No. of Units L Bedrooms
Ext. Finish
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.
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NORTH
RESIDENTIAL — COMMERCIAL
as s
SOUTH
I hereby certify information submitted is
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Corrnd ther
ns
H LG4 Sewage Permit s7' e.4.4 %
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
State License No.
Inc'. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit F;e5/ <- a
structures loc:ted on t,his property except
/7
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit
e zone is
Receipt (/ trS Issued
Form 523 Bldg. Code
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ADRIGINAL LEGAL DESCRIPTION:
The West 310 feet of Tract 24, Plat A, Greenacres Irrigation District,
in the South )1, Section 7, Township 25N, Range 45 E.W.M., County of
Spokane, State of Washington.
Parcel D: The West 310' of Tract 24, Plat A, Greenacres Irrigation District,
in the S. 11, Sec. 7, Twn 25N, R. 45 E.W.M. except the W. 245V
Oismillenel, County of Spokane, State of Washington.o�
Parcel C: Tht a N. 320' of the W. 310' of Tract 24, Plat A, Greeacres
Irrigation District, in the S. 11, Sec. 7, Twn 25N, R. 45 E.W.M., except
the E. 65° an d except the W. 1641,MOMMOMMOIMOMMOMM6044, County of
Spokane, State of Wash.
Parcel B: The N. 320' of the W. 310' of Tract 24, Plat A, Greeacres Irrigation
District in the S. 11, Sec. 7, Twn 25 N, R. 45 E.W.M. except the E. 146' and
except the W. 82' and , County of Spokane, State of
Wash.
Pareel A: The N. 320' of the W. 310' of Tract 24, Plat A, Greenacres
Irrigation District, in the S. 11, Sec. 7, Two 25N, R. 45 E.W.M. except
E. 228' vairelmumelsosologialelaW, County of Spokane, State of Wash.
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