1978, 02-23 Permit App: M5018 ResidenceCounty 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.
7 APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
-
Legal DescriptipnNumb,C0 Property (Give complete description from deed, tax receipt, etc.) Parcel Numb/l 4"/'/2 ?06 l
P� _2 � a�� . �, � /) ,*S5
Address
Address
Address
Phone ^/ ice'
Phone
Phone
Address
Phone
DESCRIPTION OF WORK: New 1----- Addition
SizeofLot /H/ 7 1.?P ' r'
StorYai9"D//L D ensions 21fX7O
Rooms Y Baths ,V Basement'�?.•"..r,-L'-� Foundation Const.
(Pull. part, none)
Heat. System ' . `i, f7, Type of RoofingExt Finish
Use of Bldg. /4,--)",.4.- 4 !i' .....ft
-•we, -..r'
PLOT PLAN
Remodel Moving Bldg. one� Fire Zona
Gra° Sewage System flea% Const. ��
(Fr., Conc., Br., etc.) a
/ �//Total Sq Ft 191Pi yalpation - AA
en
1?,c. r? 2i Chimney Fireplace( -
n (Kind) Number
CV,.iern-er Int Wall Finish �'fT�
No of Units LBe rooms --5'
Draw slclktch 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.
I hereby cert
as shown. -
ALANDU
THIS 1S NO
SOUTH
State License No.
Ind. . 'cot. No.
RESIDENTIAL)- COMMERCIAL
REQUIRED
r
Heating Permit /EWA— -
NSewage Permit 7205.---e---;;;,.---
Plumbing Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ormation subm tted is correct and there are no other structures located on this property except
Owner or Agent Date
R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
.4 PERMIT.
DO NOT WRITE BELOW THIS LINE
. Tour street address will be
Sewage Permit Number
Remarks
///S4 l S d S. -- .P/ /4.-+6r4-C-Tbe zone 1e r1
Issued Building Permit s /� Bert A / 9 Issued
,01
Form 323 Bldg. Code
7
1