1977, 09-12 Permit App: M3266 Addition•
4
County 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 47235.
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 witb the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
LICANT FILL IN BELOW THIS LIN
G4
Name of Owner -/. iv/
Architect
Engineer
Contractor
ddress , a %...; one t' I CD,f - -
Address Phone
Address / T y ` Phone
Address /% (�
riptionyh�roperty (Gi =A opip Qescription f'
40-
2/0 %,,r,.
iMaiMEW
ed�ta /receipt, /r el_lZ'���4V/'earn"
21 S !// �-
SG('/
DESCRIPTION OF WORK: New Addition Remodel Moving
Sewage System B».
FiISn /�1� Fire1 ne�
Size of Lot �) /` (/'�J // /iFr.. Conyg/� B ,t�t�j/)
iet
' opal Sq Ft 2Z ValuatidM1 ��v•
Basement Foundation Const. (140 --re e& 2, Chimney Fireplace
1Full •art, none (Kind) (Number
Heat. System Etc- 9 s ype of Roof' /iG /1 Ext F"nish _ / Int Wall Finish /�,/(/,///y�
Use of Bldg. //� ./iL _ / .. l i _ / /iii No of Units .Bedrooths
�/1 mac/
Stories _LDimension
Rooms _L Baths
x '
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.
w
N
NORTH
Dos
SOUTH
- COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit /
tnSewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown: -'h
p�/-
o Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be , 3/ /(p
Sewage Permit Number Issued Bu
Remarks
tok the" zone
ding Permit�7 j
ceipt / ssued
Form 523 Bldg. Code