1977, 06-28 Permit App: M2152 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 (COs S TOL u Addressdo) O Z 5 1 ''2k
Architect Address Phone
Engineer Address Phone
Contractor Address
Legal Description of Property (Give complete descriptio, om deed, tax recei
/6) T S e//t
et
.) Par
el
d
Phon C—
b
Nu(nber ,92 ‘5-.715- —0 S" 2
DESCRIPTION OF WORK: New v Ad ition Remodel Moving Bldg. Z ne ( Fire Zo e
Po A -
Sewage System �ianr-stdonc , etp.)
Stories amen iCt' v
Rooms . r Baths Basement rc/// Foundat'on Const roti C fQ e- l - ' ChimnelAz `'''''t"/Fireplace
Heat. System C • ��4•- Ty e of Roo 'ng SiRaS Ext. Finish �- /i/ Int. Wall Finish vRr GUR /
Use of Bldg. s� ��fd ) i No. of Units�Bedrooms -�
// PLOT PLAN a�r-
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Size of Lot {� �/
St i D' sons 2v // 2- X* 1�'2 X'Z 7 '- /0x2 -0142Y2 2 Total Sq Ft �J / Valuation
i ons
—Till!, part, none) . r C-e,Ic,z._ (Kind) (Number
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH/
I hereby c
as • • • n.
State License No.
/e6 -5S -TG C.27/.Did
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
- Plumbing Permit
�n Heating Permit
)0
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ubmltttedcorrect and there are no other struct}rres ocated o this property except
Owner or A
A LAND USE OR STRUCTURE
MIS ISN T .4 PERMIT.
eAt-'07aet era /11'
,�Ttr
Date
MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
be37 / L4Si /r//
The zone is, 1`f� "42 -
Your street address will
Sewage Permit Number Issued Building Permit 11--0/-52' Receipt 744.
Issued
Remarks
Form 523 Bldg. Code