1977, 05-11 Permit App: M1250 ResidenceCounty 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
kind or alter any building or structure already erected, or to change a land use. Construction must
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.
structure of any
conform with the
APPLICANT FILL IN BELOW THIS LINE
Name of Owner f✓i low i'i��-11 C 1 ��/6 Address
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Phone ,7K- es3 1e,
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel
Numb
L-0 A-- Lf '1 c j-. Z UA11c 4 (KE
F4ti 1s q4
2 5S •3 Z -%� 0 Li-
DESCRIPTION OF WORK: New
Size of Lot V 0 S
Addition
Remodel
Moving
Sewage Syste
Stories .4.Dimensions d_.' 11,4
Rooms i_ Baths c711 Basemen.
Full, part, no
Type Roofing
Heat. System
Use of Bldg.
c -P /
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
Ul
NORTH
Ext. Finish
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-
Fire Zone.?
onst.
Gamin Fr., C Br., etc.) pb
Total Sq. Ft /Valua or -f17 50-1)
•
ChimpFireaJ
(Kind)
Int. Wall Finish
No. of Units Bedrms
ace Q1
(Number
I he e! certify
as shown
SOUTH
tion s b itted is correct and there
e,c,lj --\ S— // --
Owne or -gent Date
A ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
1 Issued
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a
N
1
State License No.
Ind. Ins. Acct. N
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Your street address will be
Sewage Permit Number Issued
Remarks
BuildingPermit
The zone is
/9,,j0 Receipt .1
Form 523 Bldg. Code
Zia NOLA
SPOKANE, WASHINGTON 99206
By
PHONE: WA 4-1161
Job No.
1
Project
of0=e-'fida
d
Ag%W40 , R.T. PON 13
Date Sheet No.
1
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