1975, 05-07 Permit App: L0035 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE '2
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 onwater connections distturbev
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
9EWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45.133 and 47.235.
/SSET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
1
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 1s 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�i_FILL IN BELOW THIS LINE
Name of Owner �i- pL$E�C�%�R Address Phone
Architect Address Phone
Engine =r / Address /// — Phone
Con `�s�4—i Address��!✓C�• one
.al sscri tii of ;ro (Give mplete des/ ip' n f m de d, tax receipt etc�_ is I �•
df
1
DESCRIPTION OF WOgKa New / Addition
Size of Lot , X
Remodel
Moving f/ Bld Zone Fire Z de
Sewage System ost.
'Valuation
Conc., B[. etc.) 0 0
To I • Ft 2 r0 Valuation
himney /1i o(Kind) Fireplace
7, (Number
Int Wall Finish
--C1 No of Units 'Bedrooms 1----•
Stories // Dimensions
O
Rooms Y Baths / Basement /A.t/0 Foundation Const
!IJ
/�""" Part, none) ,�D
Heat. System Te of",Roofing ��/iZ ,j Ext
Use of Bldg. /1--412-34-1-•/2-
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
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer fly information subitted is correct and there are no other structures located on this property except
as shown. •
er or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUSTTBE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
�-(/o ly. tQ.�- �� i
Your streets8d e s will be The zone is
Sewage Permit Number Issued Building Permi Receipt 7550 Issued
Remarks
a ,f i• 1' . f
Form 523 Bldg. Code
f..
.• :
t P•ti . •
t; • , L.
C. V
•
/
41p1Mg....11,
•
)
-7 r
2:2_4 -et
/i7,
c -r-