1978, 03-27 Permit App: M5426 RemodelCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT J�
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WAIER. 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
i
Name of Owner !'�t� --A-?2' Address
fir /5-0 2 da -e-- Phone 9-7 Y- 7 C17
Architect Address Phone
Engineer Address Phone
Contractor /a" Ce -212' (,.0'/ / Address _ �/
Legal Description of Property (Give complete d scription from deed, tax receipt, etc.) Parcel Number- o3 �.(1
aThried
ROADWAY RPMWIDTH
DESCRIPTION OF WORK: New /, Add ti �— Rem Moving
Size of Lot 7 !/
Stories /1 Dimensyr qs r �!
yy
Rooms Baths %) Basement Foundation Const v
' (Full, part, none
Heat. System ,YI'/ T/�pe/o/f Roofing Ext. Fini h
Use of Bldg. /1t'S4 /70 �.
odel
V
Sewage Systemconst
i
Bldg. Zone / Fire Z e
FAC S./ !N%
.�ryy (p�[p Fr., Co ., Br., etc.)
,(� Total Sq. Ft A "r,+f/ luation rd
L..�--Chimney ,4
Fireplace –--/--��
( ) n n (Number //
Int Wall Finish ✓/may CV -A
No of Units—Bedrooms
m
y
(PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
posed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
ra y
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no otherructures located on this pr perty except
CYas shown. tX/
Q Gear:4 - 2 %- %
Owner or Age Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Iour street address will
Sewage Permit Number
Remarks
be 1V i3-02 ,
Issued Building Permit_7r1
Ite zone is Q C
Receipt 091 G Issued
Form 523 Bldg. Code