1978, 04-03 Permit App: M5605 Renewal M0008County 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 enfoab e hrough civil action. County Officials can not bring action to enforce covenants pr dedications.
7
AP A,4 WA JLL IN BELOW I, LIN
Name of Owne���������s / /�� ' ddres Phone
.fri Address
Phone
Architect
Engineer ' Address ^ Phone
Contractor Mrif 2Mirr Address
,d�OT�LH
2- 5 /
Legal Descr' 'tion of Property (Give complete description from deed, tax r
e pt, etc.) Parc
Number2 / e
DESCRIPTION OF WORK: v /
Size of Lot
Stories
Rooms
Heat. Syste
Use of Bldg.
Remodel
Moving
Sewage System
Bldg. Zone
I Sq. Ft.
Chimney,
Fir
ins. y
(Fr., Co c., Br., etc.)
Valuation
Firepla
(Kind)
Int. Wall Finish
No. of Units _...Bedroor}is
(N
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
VI
NORTH
ion .
A.:TAgent Date
TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOT P M T.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
rni Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
lt/4//71rAto.4e-
and there are no other structures oc'ted •n this property except
71 (f 1-7) DO NOT W ITE BEL• W THIS LINE
Tour street address will be
Sewage Permit Number Issued
Remarks
Building Permit
The zon i
Receipt
sued
Form 523 Blda. Code