1978, 03-15 Permit App: M5360 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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 onvater 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 O
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
Architect
Contractor
c
ddress
Phone Engineer Phone
Phone7ti' '1S.3
Address
Legal'Des ription f.Prop-r Give c plete desc ption from deed tax receipt, etc.)
Lir • 13c 2v \y ' aw•k. 1�a r
Aar f� 5-0
Phone
2 COfy2— 33c3
DES IPTI OF WORK: New
Size of Lot 100 X I ],
Addition
Const. Y`(\' Dimensions 1!11"
( Frame, concrete, brick, etc )
Remodel
Moving BIQg. 'Zoe, Fire Zone��I---���-----���
Sewage Syste - E'Pt I C Stories Sh'f , ik° i
3_
Total F �
�U�1 6` 10X��`._G't it Sq ti 13 Valuation cieO
Rooms -' Baths Basement
(Full, part, non )
l-�- t+ Founds
Heat. System I: t- Type of Roofing
Use of Bldg. ea j �t a., 0-7,,erug or Carport r ache 7
tion Const
coNke, e fi e Chimney tk t Fireplace
(Kind) (Number)/
Ext Finish 0o Int. Wall Finish t/-
No of Units 1 Bedroo s .
Private Detutched
Q.C.crf.�
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
te and water supply lines.
m
N
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
See 9
I here
as shown.
SOUTH
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned -
Plans Picked Up
Plans Mailed
ertify informQ'att1io sbmitted is correct and there are no other structures
Ow�or Akent
Date
NLOA LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISjS NOT A PERMIT.
located on this, pyo erty except
'..,„,,„iii.,,,,,,
7 e aw
Your street address will be 1) h
Sewage Permit Number Issued Building Permit
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is 5/C:-
Receipt 626 1 slued
f1`f53Oa
Form 523 Bldg. Code
.64-06.1C1 �
?.
1
Y p/ -cu',J _---40,0,0 '/�QQ i71ir'/✓
L
y iv j i
Act !#' zce54z-330-4
' i i I 1 { 1 i j i 1
I 1
j 1 I
1
Ltr I iI 10W
61,6-01