1978, 07-19 Permit App: M7222 Pool0 0
County of Spokane, Washington
BUILDING CODES_ DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.
3
POtMIT 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 OP BUILDINGS. A permit 1s 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 rte/
Name of Owner .%?/l'/1:57/..�/ T6
yah. ,pt•..I7v�!'(,erAddress S /' -��%-1 p Phone
TORkflNQ E Address -i In Phone
Engineer��g � � Address Phone
.CG
Contractor /Y//J7.t/11 Address Phone
Architect
Legal cription of Pro•erty (Give complete •ascription fro
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, anio/�.J�1LAA',/ fll!►/fi'�l�' ,
a20ADWAY VW WIDTH' 3
DESCRIPTION OF WORK: New Addition Remodel Moving Bld . Zone Fire Z ne /7
Size of Lot --5-! X,o _2B; ,1^,O Sewage Syste Const, �g7
tt Fr., Conc. t etc.l
Stories_Dimensions Jo xAdISP Total Sq Ft 5---/.2.. Valuationr%J t
Rooms _ BathsBasement Foundation Const (•��CZr - Chimney Fireplace
Full, part, none) (Kind) (Number
Heat. System / Type of Roofing Ext Finish Int Wall Finish
r
Wr
Use of Bldg. ( —Aga „viii _ . /,r4 .-.. 1I ..aX , ' No of Units Bedrooms •
/
eed, tax receipt, etc.) Parcel • u ;ner
PL 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.
NORTH
�^r .j' ($-
I hereby c
as shown
State License No.
6W N d2
Ind. Ins. Acct. No.
RESIDENTIAL- COMMERCIAL
REQUIRED
Plumbing Permit
WI Heating Permit
NSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7//1/ rete.ince
ify information submitted is correct and there are no other structures located on this property except
22112_269
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
itA Asa 3 , p XS DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number • Issue
Building Permit
The zone is
Receipt - J ssued
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