1978, 05-11 Permit App: M6668 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 buildingis 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 toenforcecovenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner pJN2/2o 435 OG Address h2/41/1..? PnQJS ai Phone 9ZZO)o Z
Architect Address Phone
Engineer - Address Phone
Contractor 1.0 r"OZ-F PcP . Y Address Phone
LegarDescription of Property (Give complete description from deed, tax receipt, etc.) Parcel Nymber
6.07 ?/ Bloc, 'Z. c/ a..cgAQ J& ,i l -
5 >t
r
/ (p O Er, yr, /454'.2-5023
DESCRIPTION OF WORK: New _Y.___ Addition R
Size of Lot 27-oX/116 2.2!,2sit
Stories / Dimensions
Rooms 7 Baths_7--" Basement (Full, part, none Foundation Const (p w L
Heat. System fpf Type of Roofing Co"w' Ext Finish '%-iI/
emodel- - Moving Bldg. Zone ___(� Fire Zone 3
Q B y 1/6 4. Sewage System 5f® Fia^
into onst.
Fr., Conc., Br., etc.)
A f 4c AcD 4+IT/Y � X//2 1�jG/L Total Sq. FtP944 Valuation 53ne,
Chimney al r Fireplace
(Kind) (Number
Int Wall Finish /�t5fr•-2+p�
Use of Bldg. Y2 5 . w r 4'L Rt. 401?. 4 bit IL
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-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units "Bedrooms
SOUTH
COMMERCIAL
REQUIRED
•
Plumbing Permit /dto.G,.SS/on
m Heating Permit -"ay r' .S
Sewage Permit 02. V
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify inforio submitted iy correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTR9CTION
TH191IS NO! A PERMIT.
2 6 DO NOT WRITE BELOW THIS LINE
L 7//O
Yo street address will be air
Sewage Permit Number Issued
The zone is
Building fermi Receipt -25 7 7 Issued
Remarks �V
G‘
Form 523 Bldg. Code
•
90
12
/2
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10'
900
6.1.
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