1978, 03-25 Permit App: M5484 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 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
Architect
Engineer
Contractor
Address
Address
Address
Address
c39016
Legal Descriptio of ProptA (Give compleitd cri tion from der/ t x receipt. etc.) Parcel Number
Phone
:1(022 -
Phone
Phone
Phon
35-4 h zag
ROA Igo
iROADWAY
R/W WIDTH
DESCRIPTION OF WORK: New i Addition
Size of Lot F5 • J�OI K 1 50'
Remodel
Moving Bldg. Zone l Fire e
onst. 4314•1/40(Fr., Conc.. Br., etc.)
uation 43 9
Fireplace 1
(Kind) (Ngmbgr
Sewage System �• I •
Stories Dimensions 2b 4D I v` 1.24. BK 10 Total Sq. Ft
Rooms Baths 1 Basement _ Foundation Const ��' Chimney
�(F'unll, part, none_
Heat. System(?)
tt. ype of Roofing ��%(1�[(Z xt. Finish
Use of Bldg. f feei
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.
TI- II
Int. Wall Finish
No. of Units Bedrooms
NORTH
see
atac4ri.d Plof Pla,,,
I hereby
as shown.
A LAND
T IS NO
SOUTH
m
N
a‘lr.s......License -6
Ino. Ins. ct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
5/.2-7118' E?A•
ify nformation submitted is correct and there are no other structures located on this property except
Owner or Agent Date
STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
PERMIT.
DO NOT RITE BELOW THIS LINE
3_ 21Tur street address will be
Sewage Permit Number Issued Building Permit fl_5.141/ Receipt() SBS Issued
Remarks
The zone is..
072 l
Form 523 Bldg. Code
-
C40,017YY'l
P,e.; T fF iY3:F11E si.aIS
121
12'
12'
44'
44'
tet
44'
4o
(04b0'
Li -a Q)IkZ
Midi 6Ao- Adci.
tikokeE
be
5LoPE 4
9'
Ealldisl,