1977, 04-12 Permit App: M0577 ResidenceCc4nty of Spokane, Washrington
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
„Mad—egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
l.^,rformed 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 '.and
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicaticns.
APPLICANT FILL IN BELOW THIS LINE
ic7
%r' /
Name of Owner i. - v� Address :;.?-,./6) l'C c<1 -#01(0,://L> Phone T ? — 7/6 !/
Architect Address Phone
Address Phone
Engineer n
Contractor 7r
Address-c-)XL--1)"1-1- 'ti- I Phone
( Legal
Descripti9n of Property (Give complete description from deed, tax receipt, etc)
07 C - - y
DESCRIPTION OF WORK: New )( Addition
Size of Lot 51_4_6"_;2 >�
Sewage System ,,,f4- 7- onst. �-- 1 1`3
�CtCC . ✓ c / �Fr., Cor Q5•, el
Remodel Moving Bldg. Zone / Fire Zone
�
Dimensio
Stories' "'eY /7/ / A'iJ' t-' Total Sq. Ft. /6,5 Valuation
on Const T`' Chimney �J -fireplace
/44_5=
Ext Finish {
Rooms Baths
L)
(Ful
Basement ....!..i.,"_-Foundati
1, part, none), —
Type of Roofing t,ry
Heat. System �_ -Zc4 F4
Use of Bldg.a.4'
(Kind) r (Nu ber
Wall Finish c¢;t-'J�JCl�J -
1 /!/tsb1C. `I c - Ce No. of Units _ Bedrooms 4j -
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.
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
m
f/f
rState License No.
And. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certjfy information submittad• ct and there are no other structures lgcated.on this property
as shown.
7
except
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Tour street address will be
Sewage Permit Number
rks
Issued
Building Permit,. f, .
The zone is
Receipt .1)� j Iss
Y%
Form 523 Bldg. Code
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