1978, 02-08 Permit App: M4827 Residence1
County 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 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 LII1NE.r 9
Address Ga � � E i � ��
Name of Owner ` L C nit4 PhoneS3 r --1 if L
Architect Address Phone
Engineer� Address Phone
Contractor " �a 1 Address ' O i\\ Z. Phone 3 ii L
Number S' Y/ O.? O
Legal Description of Property (Givecomplleete desgion q eed, tax receip , esa.)/parcel
07 /V fdu
DESCRIPTION OF WORK:
Size of Lot 80.
Stories / Dimensions
Rooms Li Baths
(Fu
Heat. System IA 4e'} t3 t3
Use of Bldg. cs •
`' Addition Remodel Moving
72 6�( �/ c� Sewage System
. . U / �xl c Total Sq.
Foundation Const C 04; C i` t�i-
Basement F I t
II part, none)
EC
Type of Roofing
Ext. Finish r -
Bl g. Zgne Fir Zone
FFr., Conc., Br., etc.) p
Ft /S-rL V uation ylOvO
Chimne ireplace
(Kind) j�- y(TVumb
Int. Wall Finish (S.It'°,/ 144 1�
o. of Units _Bedrooms 01.11,"•-
3
onst. .'CIv
PLOT PLAN
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.
i
m
to
NORTH
L \ (t4 4. eket 0 tc : I_ (gam
SOUTH
I hereby certify information submitted is correct and
as shown.
Owner or Agent
m
c/rrLicense9te
Y �
Ind. Ins. Acct. No.
RESIDENTIA1 — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures
-
Date
located on this property except
A LA DE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI T A PERMIT.
eik."t
4ur street address will be
DO NOT WRITE BELOW THIS LINE
L
Sewage Permit Number Issued
The
zone is �-/� �.
Building Permit Receipt ®) ( 1S Issued
Remarks
Form 523 Bldg. Code
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