1977, 05-16 Permit App: M1407 PoolCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FE
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
1 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 1
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.
ov
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Ll -u.-1— ARl► _' . 4......., . .01(......;_0 Address
Architect ' Address
Engineer Address
Contra
Contra 7i2/�r42 -� ..—t-�-'.a�.a, Address A'S r/
__14...D7crippu of Prooperyy, ( e com ete descripti. r.mdeed, tax receipt, etc.) Parcel Numbe- ,/`/ ,716,0'1 --c) .2_,:v7
Ped' -
Phone #r /Gp op aG
Phone
Phone
Phone � S - 7 6l
0C.
DESCRIPTION OF WORK: New
Size of Lot
Addition
Remodel
Moing Bldg. Zone / Fire
tSewage System Constt.
p
Total Sq. Ft p id 11Valuatio
�) Foundation Const Chimney (Kind) Fireplac (Number
Ext. Finish Int. Wall Finish
No. of Units Bedrooms
s` Stories Dimension)CJ
I
Rooms Baths Basement
Fu ,
Type of Roofing
Heat. Systenr
Use of Bldg.
if
,�-.
•''c. Br A!c.)
Draw sketch with dimensions showing: (1) property ines; (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.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certif i _.rmatip submit --d s correct and there are no other structures located o this property except
as shown. /I l'
Owner or Agent
Date
-5-7777
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW HESE LINE
/'‘ 72
Issued
Building Permit
The zone is
Receipt 7 .S -
.Issued
Form 523 Bldg. Code