1977, 04-18 Permit App M0659 Residence, Garageoutif I one/
as Liton
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.
APPLICANT FILL IN BELOW THIS LINE
-;/7 Xi )4R L'-gb on e
Architect Address
Name of Owner eflejj_14.4/2-. Address
Phone
Engineer . Address - Phone
Z --) i._-/ 7-
Contractor 7 -I-- - - - - g-e• Address /al /12 / ,•53-', --7,---e4/....x” .ef,-- -- phone /-21 P- RA I/ I
Legal Poser' ition of Pr perty {Give mplete description,from deed, tax receipt, etc.) Parcol Number,
/
-/ -TY- ----t- //,' ,-'i '.--1-/ :'-';': i
DESCRIPTION OF WORK: New 1 Addition Remodel Moving Bldg, Zone Fire Zone -
C;Z
Size of Lot 27 7 57 -2 7, Sewage System .5 e,../ Const Or'//reor -
2-i7/tr-e,e (Fr,, Conc., Br., etc.)
Stories i/e Dimensions 77.2.4, x / ,4 t „2 A 415
Rooms 6, Baths*- Basement Ace-4-11 Foundation Const.
Full, part, none)
Heat, Systemiir Type of Roofing
Use of Bldg.
x Bc/K Total Sq Ft 21- 7 2-- Valuation! 7o;
ecr'R Chimney A Fireplace
(Kind) (Number
Ext Finish( /Vic "cipiele-g-- Int Wall Finish -A/1 --e• C/[7A-' °R;
arserreewerearlefl
ee (.2 C1._ -2 e 77-f-Te
NAST 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.
NORTH
17
4,4
I hereby certify
as shown.
-Zre
ner or A
A LAND USE OR STRUCT
THIS IS NOT A PERMIT.
SOUTH
No of Units LeBedrooms
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
ra Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
igf�rmation submitted is correct and there are no other structures located on this property except
Date
RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES,
DO NOT WRITE BELOW THIS LINE
Your street address will be , C. lc P- ri/e The zone is„Rel (e ire ' fe7 -7/ ifre.„274.
Sewage Permit Number Issued Building Permit PI YfteceiptS 7 T.? Issued
Remarks
Form 323 Bldg. Code