1977, 04-06 Permit App: M1565 ResidenceI
County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® 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.
NATER. 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 6LZZh . A:JE E d F� fiJS' o e-. Address 1a /O Phone
Architect Address A-� 614L_ Gtr 11r. Phone
Engineer Address Phone
Contractor 'n, G ' �� f'i2.t� Eyi Address Phone
Legal Description of Property (Give complete de criptionffrom deed, tax receipt, etc. Parcel Number
2-o r / /- ,fS /D G /l_ „7 _�.S"E.e' Cc) ,, s/� 2lo
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone Z_ Fire Zon mss_
Size of Lot Sewage System Const.
,� l! r ����� / (Fr., Conc., Br., etc.) cv
Stofies Dimensions -3 !% Total Sq. I Valuation �G G/ted
RoomsBaths Basementu // Foundation Const.. coN Chimney Fire lace
_Fu I, part, none) /7, (Kind) P (Number
Heat. System f !�. Type of Roofing K E Ext. Finish �r/d O 1� Int. Wall Finish
Use of Bldg. D/h C, %iTAG F/£ 4 G>
No. of UnitsBedrooms
�-�- 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.
M
N
NORTH
�1T'/�GH Edi
State License No.
Ind. 'Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
MHeating Permit /`/1/'0 c4l oD
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked -Up
Plans Mailed
SOU TH
I hereby certify infor tion submitted is 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 CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
12di =A�LDO NOT WRITE BELOW THIS LINE
p
Your street address will be % F. l a e zone
Sewage Permit Number Issued Building Permit ReceiptIssued
Remarks
Form 523 Bldg. Code