1978, 02-16 Permit App: M4921 Residence9
3
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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 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.
�1 �/ APPLICANT FILL 1N BELOW/THIS LINE 79',72,9, .-, ,r
Name of Owner 2S. l.U. /�)0 i(/C e Address PS'. `/�-P7 C/Oxj, xece �Z % Phone 70'x" -A'R'C 7
Architect Address Phone
Engineer L-1. ✓/ / Address Contractor W. U Address
Legal D scription of Property (Give complete description from deed, tax re_c eiggt etc I
gea-CLai1 p4? t u iJ Zieef� e rl,
Phone
e % Phone
e/076.5 " O/SZ
DESCRIPTION OF WORK: New i/ Addition
Size of Lot /0O % /c2.5'
Stories9L. Dimensio s
Rooms 7 Baths Basement
Full, part, non
Heat. System .)&Ag'Jltj'ype o
Use of Bldg -'��,•
Remodel
Moving Idg. Zone —L. Fire Zone
Sewage Syste FR., � Pi
� r y4',:• (Fr., Conc., Br., etc.)
al Sq. Ft. —•r ' Valuation 54 ono et
Chimney -Ow_ Fireplace 7y'
(Kind) (Number
Int Wall Finish
Foundati• Cons
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 sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and to supply lines. r /
NORTH —COMMERCIAL
No of Units _Be rooms
lv
—1
SOUTH
I hereby cer ify information su
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.
ernzis
street add ess
REQUIRED
Plumbing Perm
Heating Permi
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted 15 correct and there are 0 er structures located on this property except
Tour w111 be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
9
Issued
G1 r
llding Permit
The zone is
Receipt
Issued
f
Form 523 Bldg. Code
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