1977, 04-03 Permit App: M0967 MHCtanty of Spokane, Wash I igton
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 UNE
Com'
Name of Owner Address 4Wel Phone
Architect Address Phone
Engineer Address Phone
Contractor Address Pone
Legal Description of Property (Give complete description from deed, tax receipt, etc
DESCRIPTION OF W New _Addition
Size of Lot �
Stories _i___ Dimensions
Rooms _ Baths.
Heat. System
Use of BIdg. VVE
Remodel
Moving BIdg. Zone
Sewage System
BasementFoundation Const
II,. part, none
Ty9e of%Roofing �7.'�,.� 1. Q l' Ext. Finish \,'L\_i`-tifr
i
Total Sq. Ft
/ Fire Zone .3
r�+ons., ConcJ_
`Fr
Valuation
K `--
(Kind) Fir ceumber
Int. Wall Finish 'L t °'"� �--
No. of Units _ Bedrooms
Chimney
Draw sketch with dimensions sh
proposed buildings; (4) distce t
tem and water supply lines. u:
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines� and stre , ) dimensions of buildings; (6) location of sewage sys-
State License No.
find. Ins. Acct. No.
RESIDENTIAL . f OMMERCIAL
I hereby cert
as shown.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
formation submitted is correct and there are no other structures
gent
a'.
Owner or
locate this roperty except
• 7y
A LAND USE OR STRUCTURE. PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
CAL' 141A10- i DO
be // r1/ 1 J [__:.. t., .7
Tour street address will
Sewage Permit Number
Remarks
WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Issued
Build i Permit
orb.
The zone 40=0_ Issued
'/e hC'%i'r Y
Receipt 'y_Issued
Form 523 BIdg. Code
I:'
717
'644'r
WI! II'!p'ri lir
IiI1 1
-r1II
il; I
ray
I
i 11 ,11 11111 ,j-;1- 1!11
6 V 4Q 1> �h: I , I_ I 1 .
1.1
1 _III 111
_ I:?., 1,l ` 1
1 _1 l _ 1 frj
1 I i_. i 1 1. l - 1 1 I I 1iJ 10L' L
8 9
1 2 3 4ir 5
7
v / `% "i_ 0 C
II lilill
III
1L II�I1��I
10 11 12 13 14 15 16 17 18
�` ✓