1977, 04-15 Permit App: M0537 ResidenceCbiinty of Spokane, WashIligton
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner .'�• _ a _ . , i, Address _ Phone q.— -h O S
Architect 1 1 Address Phone
Engineer Address / "/ a pr1� QePhone _
Contractor Address j 4 Q 2/% Phone % -6 a
L aI Description P operty (Give com.I - e description from deed, tax rec ip _—I 2 — 0 g)
DESCRIPTION OF WORK: New Addition
Size of Lot 8 s X 11, 4
Stories
Rooms
Dimensions 6 o
Baths . Basement
Fu I, part, none(D
Heat. Systeme c . /./4 Type of Roofing Ccs m/%�
Use of Bldg��
Remodel
MovingBldg. Zone / Fire Zpne
Sewage System S fConst
(Fr., Co
Total Sq Ft 6V/ 6 1( Valuation
Foundation Const. G—' Chimney Fireplace
( ind) (Numb r
Finish
irti
Int. Wall
No. of Units _ Bedrooms 3
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) locat
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
aci
'r2
I hereb
shown.
SOUTH
rtify information submitt
c
rect and there are
1/ -G�
of existing and
of sewage sys-
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mail
-4r
no other structures locate. on .''s-.roperty except
er or Agent
A LAND USE OR STRUCTURE PE I
THIS IS NOT A PERMIT.
6,
Your street address will be
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NO
ITE BELOW THIS LINE
The zone i
Sewage Permit Number v Issued Building Permit 'fl\ 6N Receipt I
Remarks N
Form 523 Bldg. Code