1978, 04-07 Permit App: M5757 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 // %Js�
_
APPLICATION FOR LAN E 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 -RACK 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'fl'anking 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.
HUADWAY /W WIDTH
DESCRIPTION OF WORK: New �} ddi' Remodel Moving Bldg. one Fir ne
Size of Lot i/ 0 Sewage System :onsConc., Br., etc.)
Stories Dimensions T al Sq. Ft aluation
Rooms Baths Base nt Found tion Const.. Chimn Fce
nn part, n irepl (Kind) (Num e
Heat. Syste V Type Roofing I Ext. F'nish Int. Wall Finish//
o 6
Use of Bldg. No. of Units LBedr s
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
P�,t80�
SOUTH
at cense No
Ind.'Ins. A . No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
NSewage Permit
-t
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e by/�rtify in mation bmitted is corr�t and there are no other structures lot to/ on t s property except
as,,s�n. /1 � %�� _ 1_ :il_ _ 17 / A _ice
( Owner or Agent Date
A dND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRVE1 BELOW THIS LINE
Your street address will be Gm .� L� Tfie zone
Sewage Permit Number Issued Building Permi Receipt
Remarks
Form 523 Bldg. Code