1978, 07-20 Permit App: M7253 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 BAY
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 Address
Architect Address
Engineer >� Address Phone
Contractor ��„re—>-�-- Address Phone
—9""e2/
Phone
Phone
,z1z.P- 93/e)
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Parcel
Number
ROADWAY R/W WIDTH 1p6' r
DESCRIPTION OF -WORK: New x Addition
Size of Lot /G� !9 )' / 9 Ai
Stories Dimensions ..302 X 39 5/x
Rooms o Baths Basement
(Full, part, n
Heat. System . '/ 9*.�1-f, ; :�fing
Use of Bldg. %�� Qom- G -0-z C'C'
v
�f.
Remodel Moving
Bldg. Zone /
Sewage System
3� 3, K / / % Total Sq Ft
Foundation Const
Fire Zone
Const.
(Fr., Co, Br., etc.) ��
3'a' 4 eve (�
Chimney /k8 — Fireplace ” 2
(Kin/ Value on /d) (Number
Int. Wall Finish
No. of Units._Bedr ms
e7
&'-.42.4.-'-‘7--Fitt. Finish '2----///
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
/7. 27H
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
��'/souTH
I hereby cert- y information sub ted i
as shown. ``j ' / o
Owner or Agent
A LAND USE OR STRUCTURE PERMIT M ST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
correctandthere
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7/494/,g A4tolto
are no other structures located on this property except
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
Building Permit
ef
Da e
CONSTRUCTION COMMENCES.
The zone is
Receipt �ssued
Form 523 Bldg. Code