1977, 06-14 Permit App M1950 Demo ResidenceName of Owner
Architect
Engineer
Contractor
Address
Address
Address
Address
410 •
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. 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
2
r /4)
Phone
# 7c2 D� ,a-4. • = µ : - Phone
:'/ 7 71,.E i,,<, 77JL, cf Phone 19•2-11
rty (Give complete description from deed, tax receipt, etc.) Par el Number /c -%/—//-1 7
els7d./.9%.-
DESCRIPTION OF WORK: New Addition
Size of Lot o// X 47 ,
Stories Dimensions « <4/ J X 3 O Rooms Baths. / Basement s..<41/�i" p
Foundation Const. '/ .t51- k
(Full, part, none)
Heat. System .i d--ak Ty of Roofing,
1 '�f." Ext. Finish
Use of Bldg. /1 _t744L4- G-1 LL r,:
Remodel Moving Bldg. Zone 1 Fire Zone .±
Sewage System �`.�^. / � Const. '- -
(Fr., Conc., Br., etc.)
Total Sq. Ft -7 <' 6 Valuation
Chimney ;V,Li_ Fireplace
fK-'id; ( Number
Int. Wall _:inish /
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; (5) dimens
tem and water supply lines.
m
a
as shown.
NORTH
.t 2,vr2 PLC t✓b „ a,,ez GeE✓,c�
SOUTH
I hereby certify information submitt its correct and there are no
/
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
No. of Uni':s Bedrooms
road locations; (3) location of existing and
ions of buildings; (6) location of sewage sys-
State License No.
0—CI— -P , L7I-k.
Ind. Ins. Acct. No.
R\ DENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
—/-y="— 7 7
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number Issued Building
Remarks
AN
The zone is .' . (.15
Permit $ eceipt 7/ Issued
Form 523 Bldg. Code