1977, 05-15 Permit App: M1323 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 ~�
Name of Owner ��- C ddress � ,1 c ' Phone t�,3
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description of Property Give c mplete description rom deed, tax a ei et ti)
LI �� tit z'k awe
DESCRIPTIOl� QF�jVORK \i,\7 V Addition
Size of Lot (J V`
Const. i Z+ bimensions `440 fr. —Z:0 �-
(Frame,sicrete, brick, tc.) �'
Baths I Basement F al Foundation
�.� _ ( 11, part, none)
Heat. System NA Type Roofing
Use of Bldg.
b
,Remodel
Rooms
Const
Moving Bld
Sewage Syste
XC,Z Total Sq. Ft.
Ext Finish
Zone 1
Garage or Carp Attached\
Fire Zone
Storie
Valuation
00
ChimneP Fire lace
(Kind) (Number)
Int. Wall Finish
No. of Units { Bedroom
Private Detatched
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.
m
NORTH
m
a
I here certify f
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tion submitted is correct and there are no other true
Owne'r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
located on this property except
iii
S LINE
Your street address will be
Sewage Permit Number Issued Building Permit Receipt 93
Remarks
The zone is
Iss
ed
Foam 523 Bldg. Code
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