1978, 08-09 Permit App: N0087 Residence1
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.
APPLICANT FILL IN BE OW THIS LINE
Name of Owner (r t ,'J C �� (W N K= Address
/3—
Architect
3
Phone F-2/ 7
Architect Address Phone
EngineerAddress Phone
Contractor -S /fl C-- Address
Legal Description of Property (Give com.lete description from deed, tax receipt, etc.) Parcel Number 6 75-44.2
• -2 /-4-'/ '
m • e /2-.._)— J„,p,_)__/ ..
77 2o . Phone
ROADWAY R/W WIDTH 5°
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories / Dimensions
Rooms 4_ Baths /I Basementd�T T
Ext. Finish
Q
Qoti11�'�
Q 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 and water supply lines.
Heat. System
Use of Bldg.
Remodel
Moving Bldg. Zone Fire Zone 3
Sewage SystemSCf 1'1 4- Const.
r” etc.)
Total Sq. Ft L -S & Valuation a �
ChimneIKind N Fireplac (
(Fu 1, part, no Foundation Const
Type of Roofing
1
ber
Int. Wall Finish h r
No. of Units Bedrooms 3
(3.5I NORTH f ,) VJc £.j
I her
as)rhown.
SOUTH
certify informatiQn submitted
Owner or Agent
State License No.
13FckLGfI3/71 L(
Ind. Ins. Acct. No.
(SIDENTIAt COMMERCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
NSewage Permit
is correct and there are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures 1pCated on this property except
7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
cYN 1M S/1/
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Your street address will be
Sewage Permit Number
Remarks - .✓vi' �r
Issued
Building Permit
The zone
Receip
Form 523 Bldg. Code