1978, 08-02 Permit App: M7479 ResidenceCa ntY of Spokane, ash ' ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT //11
GENERAL REQUIREMENTS PERMIT FEE._10._=I 00_..
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 }}7�
Name of Owner Address Phone
Architect Address X7,4tlbp dZ -f Phone
Engineer Address Phone
Contractor o q t -h e- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) .
DESCRIPTION OF WORK: New _ k Addition Remodel Moving BI Zone — Fire Zone
Sizef Lot J1 D ,,c� �-2!r Sewage System C Ti`c.. Const. �2 &,-h �
r' � .f. _ /- e-V�� i Fr., Conc., Br., etc.)
Stories Dimensions Total Sq. Ft.23 9a Valuation �l 000 r
Rooms BathsBasement F�// Foundation Const., Chimney %�'- Fireplace
�e Full, part, nonce 01 (Number
Heat. System G �/g Type of Roofing R Jf7�/2k 4?-- Ext. Finish dDa�! Int. Wall Finish
Use of Bldg. .///e rh .e. 44 7,-/4G M G.A 6�� ge 4a e No. of Units 1 Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of exisoand�proposed bu
ildings; (4) distance to property lines and streets; (5) dimensions ofbuildings; (6) location of sewtem anSt-Water supply lines.
a NORTH - COMMERCIAL
SOU TH
I hereby certify inflation
as shown.
State License Noi
Ind. Ins. Acct. N
.
1 1
REQuI ED
Plumbing Permit
m Heating Permit le -Alb o /2. i__
wSewage Permit 4i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed _
is correct and there are no other structures located on this property except
Winer or Agent
A LAND USE OR STRUCTURE PERMIT MU
THIS IS NOT A PERMIT.
Date
T BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be- j 9 / / Q�� The zone is
Sewage Permit Number Issued Building Permit Receipt / Issued
Remarks
Form 523 Bldg. Code
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