1977, 04-26 Permit App: M0882 Residence1
Co nt of 5 okan
Y P e® VI/asC.idgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT #
GENERAL REQUIREMENTS fow
PERMIT REQUIRED. A land use or structure PERMIT FEE ---------------------------
kind or alter any building or structure permit is
or touchangesallandnuse.to erect a constructionnmust conformor rwith 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 a
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 i j
Addres Phone ` _9—r'�
Architect Address
Engineer Phone
Address Phone
Contractor Address
�y ,� Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 1P44LP L_t'_
DESCRIPTION OF WORK: New k, _ Addition Remodel Moving Bid-. Zoe g
z Fire one +�
Size of Lot— ��=cN ifl._' �7 tt1 "� 3�t ,c 1 �'r7A
Sewage System , J
/y nst
StoriesPor., C. o�n- c-�.�Br., et�c.)
— /
-
OG Total Sq. Ft.7
Valuation__:;
Rooms —2-- Baths Basement r Foundation Const..; Chimne •'�L��—
Full, part, none ) — Fireplace it1J.�6r-'..
Heat. System 'e J� T , jt m
ype of�. offing (Kind) (N br
IExt. Finish 'a--i��
Use of Bldg, f
nt. Wall Finish
No. of Units —Bedrooms
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 acd streets; (5) dimensions ofi:uildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL — OML \
State License No.
—
M
N
M
SOU TH
I hereby a tify/information submit
as shown,. 1
Ind. Ins. Acct. No.
A
REQUIRED
Plumbing Permit
�++ Heating Permit _
HSewage Permit _
-1
Plans Received _
Plans Checked _
Plans Returned _
Plans Picked Up _
Plans Mailed
and there are no other structures located on this property except
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
fRfR) DO NOT WRITE BELOW THIS LINE
Your street address will be��.rd*� r
Sewage Permit Number The zone isLTivYL
Issued :'' Building Permit Receipt «'�
Remarks p -�� Issued
Form 523 Bldg. Code
'.i