1977, 03-31 Permit App: M0284 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /7±20
GENERAL REQUIREMENTS PERMIT FEE ®'y^
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,djagress
and egr,es3'w
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.
Name of Owner '
Architect
APPLICANT FILL IN BELOW THIS LINE C. -y /,e;
/ , �l 99
J. Address ��� 7- r .�.. t'.f/�J Phone7 �- %r
Address Phone
Engineer /1L��Address 1 //A/ � .� Phone
Contractor -/-/-f-1 :J 4'%;{+s Address 0 2 /0 7 •
�/.r-%
PhoneL ' 5
Lege! Description of Property (Give complete description from deed, tax receipt etc I
a -X S X- , ' -_...isLCJ,.z
Ft•c--2."?'-re/4/1— /7'4 /
DESCRIPTION OF WORK• New kAddition
Size of Lot,
7/IXC //�
Remodel
Moving SIt1'g, Zone l Fire Zone �%�
stone's/Ca—Dimensions/ 2e Y30( 40 x 34/ c20 X
Rooms %' Baths /Basement>Fou dation Const
r
(Full, art, none
Heat. System -1 `_ Type of
Use of Bldg. ,A -()Z £id,�."�t 0.>1 / i.-)L.t3'�/
ofing am_
Sewage System
IF
CCon.. st.Co
x
f T/ r
(/_,42 -p,7 -4.4.-0-74<,/c-2 uy otal Sq Ft % <!d Value
Chimney f? Fireplace( `'l
(Kind) Number
Ext mlah ' /// Int Wall Finisht t4_f/1(2-.4-e—
dm
'i No. of Units — Bedrds �1
Br. etc.)
2:71.2.1-4-1/9,
PLOT PLA
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.
to
H
NORTH
SH:_t‘.— COMMERCIAL
as show
SOUTH
hereby certify deformation submlt%%ted is correct and there
nV/rv/ /yb /.� �/`��^ ty Car/lv�[^t v
Owner or (fent
m
N
y
State License No
Ind. iti9'JAcc\i, No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT..
Your street address will be
Sewage Permit Number
Remarks
to n .{
1'7
C
Issued
DO NOT WRITE BELOW THIS LINE
/
Building P
ot-
The zone is
Recelp
Issued
O/11 o „it ,_,p ICY per_•
v
Form 523'BIdg. Code
�-�-t ', yon G.. G: - .