1978, 06-19 Permit App: M6840 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE (r�'
ezd
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 •1
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
t 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.enforce:: e'througb civil action. County Officials can not bring action to enforce covenants or dedications.
Name of Owner
Architect
Engineer
Contractor
APPLICANT FILL IN BELOW THIS LINE
�J
Address\ j, 7'G
/
Address
Address
Address
9912/
Legal Des
notion of Property(Give co ete description fro eed, tax recei
fav 7/77ra
Phone
Phone
Phone
tc.) Parcel Number
DESCRIPTION OF WORK: New " Ars t— Remodel
Size of Lot
Moving Bldg. 2 / F'
Sewage System ✓2-01pZons 7 , t
(Fr., Consta&
�t
Stories / Dimensi s .C7 ��/ T• -1 Sq Ft �8e28 luatioh-� ___
Rooms 6 Baths Basement int .4' Chimney% Firepl ce
/�1I Fu //�part, riy,: (Kind) (Number
Heat. SystemE/E(-1 H-.Tl!yy'oo�ee of Roofing �t�-�� Jl Fim� Int Wall Finish
Use of Bldg. �A..a.l ) "� ing / ��`C.0 No of Units _Bedrooms
3
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
t
tri
to
N
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Jibe Sag"
SOUTH
e Licence No.
nd. In'e. Acct. No.
'E-gIDENTIA COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
taSewage Permit
-4
I hereby vtify information submitted is correct and there are no other str
Owner r�nt �J (U .
astown.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
G/aa/isir A&
uctures llocattr
(A/ d on thig property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will
Sewage Permit Number Issued Building Permit x/ { Receipt
Remarks /, f
be
DO NOT WRIT BELOW//THIS LINE
J. �_So& t& The zone
Form 523 Bldg. Cods
i