1978, 03-15 Permit App: M5361 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 0
GENERAL REQUIREMENTS PERMIT FEE r-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 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.
APPLICANT FILL IN BELOW 7THISTLINE
1 C,4
Name of Owner I 2- �� x LY\ CAddress st f l I 1 206, Phone e "\ �7S
Architect Phone Engineer Phone
Address Phone
Legal Descriptio o{_ Popert (Give complete des LSpti n fro deed, to rece'pt, etc.) ( 2 — 3 3 t7 3
L-0 BC 6 t kl� `E-INNNN haw \ F7c44
Contractor
DESCRIPTION OF WO_1tK; N w
Size of Lot , 2 5 X fCc
Const r Dimensions
(Frame, co rete, brick, etc.)
Rooms l LI Baths 1 Basement
part, n
Heat Sys((((tem C (Fu11,Type of
Use of Bldg.
Addition ' Remodel
Moving Ell/g. Zone Fire Zone
Sewage System cS ' T(C Storie
Total Sq Ft
13-13, Valuation
4, ;'MO
Foundation Const \.bhO.U,\
one) �y,.�, �
Mooring `"'L�< Exish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney ti.hi Fireplace
(Kind) (Numbe
3
Int. Wall Finish
No. of Units
Private Detatched
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I heby certify
as shown
0
Stgte License Np
Ind. Ins. Acct No.
REQUIRED
Plumbing Permit
,w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
mation submitted is coi'rect and there are no other structures located o this property except
ner or Agent „ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
d THIS IS NOT A PERMIT.
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`� . - ` fes
our street address will be
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number
Remarks
Issued Building Permit
e zone is
Receipt 667. 2— Issued
Form 523 Bldg. Code
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