1978, 02-02 Permit App: M4771 ResidenceCounty -of Spokane, Washil1ggton
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.
PPLICANT FILL IN BELOW THIS LINE «ilp
Name of Owne / 1 /C /L. /_� Address & Phone -2-go. 737
Architect Address Phone
Engineernn Address Phone
Contractor ✓!/icV4t Address
Legal ascription of Property (Give c gpiste description from deed. tax receipt, etc.) Parcel Number3r'/-_-1 '
C/7�R' Rlw �G A G, �i _twist" fly
DESCRIPTION OF WORK: New ddition
Size of Lot 8'7' i D °
Stories ///- ,Dimensior
Rooms VJ Bath
1�` tel/'/' �i
Baths
Heat. Syste
Use of
lV
Remodel
Moving Bldg. Zone / Fire
Sewage System --49' Const.
t VtnC
I Sq
(Fr., Cona,-LB rr�ie/-t�c/� ,
Ft
valuation 1� /
Chimne (K d Firepla e
1 (Number
Int Wall Finish
No of Units (.Bedrooms
3
Baseme, Foundation Const.
Fu 1, •art, non
.. type of oofing
A.!/____/i.
/ /
E FiJ 4.
/ era:
LV
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
pose ldings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem an water supply lines.
H
NORTH
OA 1-7
SOUTH
RESIDENTIAL - COMMERCIAL
Plumbing Permit
▪ Heating Permit
NSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her y cerci 'infer on s�tbmitte� - correct nd there are no other structures located on this property except
roan.
2-2-78 !�//YL(,lc_-
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ad/ 7 01411Fr r »' •rbe zone i�= y'�/....�
Sewage Permit Number Issued Building Permit l ri Receipt 1/,�r Iss ed
Remarks
Form 523 Bldg. Code