1978, 09-11 Permit App: N0501 Residence- u
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r�
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 oneater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained frog: 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 OP 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 pP1ACtAddressV- CSN Eh /41114k Dl Phone -.lit('
Architect
Engineer Address
Contractor VI W CPA/114 C Ng* )-� ,b Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Address t P o a.A rJ -e j4t'1Z, Phone
5 A Mt
a
L.D
Parcel Number
Phone
Phone 91-6-- gat/
Gl/
ROADWAY R/W WIOIH 3 T`
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Sewage System nst.
n �/ 1, 7 (� r., Conc.. g7� tc� )
Stories Dimensions _ 7 k 3-e Total Sq Ft a , Valuation 05 C)
Roans Baths / Basement , 2GC-C.. Foundati on Const (' �'C Chimney y Fireplace '��
AIFu11, 43 rp none, lK i "%Number
Heat. System Type of Roofing? /f'� yyE��xt��. Finish C_t� r% Int Wall Finish 0,14,41.0414 --
Use
- W'b�
Use of Bldg. - S/ o1/IsCE �� in • /C_� S/,Ot C'6 No of Units Bedrooms a
Size of Lot
AO )p jab
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 ani -water supply lines.
N
NORTH
t"A) 4.4 iJ
..I
I hereby ce
as shown.
State License No.
Ind. Ins. Acct. No,
li I
•
ESIDEN . - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
N
Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structur'. located on this property -xcept
ner or Agent r Date
A LAND USE •,: STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT .4 PERMIT.
evii,.-Yyf tet DO NOT WRITE BELOW THIS LINE
Your street address w111 It. 73,) 6 tred.f
Sewage Permit Number Issued Building Permit
Re ks
( Fir/
9//Q7X-1 •
SP 7r -o3‘:,
The zone Is
Receipt -5-2S /sued
/YOsc/
Form 523 Bldg. Code
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