1978, 02-09 Permit App: M4841 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT - o�
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 INE
Address wlgIPJFA. '1' Phone - 7
Address Phone
Address � ",,c., 9.7.,/t` Phone
Address
Name of Owner
Architect
Engineer
Contractor
Le(gaa 'Description of'' perty (Give complete 51 ription
-- °O
Phone
from deed, tax receipt, etc.) Parc Number / 4 5 4/ 3 —
SUS
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot Q4 /9- - /.1„ K �6
Stories Dimensions ?ci y` sa _ 04.- /' '1- 1 ,
Rooms W Baths 4// Basement YI 4.R Foundation Const
Ful, part, non
Heat. System -!4 Type of Roofing 0 Ext
Use of Bldg.
Moving Bldg. Zone
Sewage System
f
. Finish
/
Fire
Const.
Total Sq. Ft V
� ` Chimney Aria,/(Kind)
// / Int. Wall Finis
r., C pc., r., etc.)
alua ion )111'''' --
Fireplace
Fireplace c7-'
(Number
No. of Units _Bedr&oms 3
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
SOUTH
I hereby certify informs on submj isor
Its showfl' CC
0��te Lic nse� o\
Ind. Ins.
ct. No.
- COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures located on this property except
1/9/76
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PIER -MIT.
Your street address will be
Sewage Permit Number
Remarks 6-0 1 pzc� C,r
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone is
Receipt eV&
//karst
Issued
Form 523 Bldg. Code
1
7
6-
100 '
ftg