1978, 05-05 Permit App: M6145 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
GENERAL REQUIREMENTS PERMIT FEE 7?
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 Resolutrons•Nos, .45-133 and47.235.
SET -SACK 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-yird- 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.
PPLICANT FILL IN BELOWL�THIS LINE ,/ G p z 9
Address s /• � % YPhone cy'l o — S ✓ I
Name of Owner
Architect Address Phone
Engineer Address Phone
Contractor Address � Phone (�
Legal Description of Property (G a mplete descri ion fr m deed, t x ceipt, etc.) Parcel Number 0 03 St(/
/ — Y40
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Z e
/ /
3
Size of Lot O �� l X r 1' `�' �/ Sewage System �,c h e- Const.""`} ��
.�.7 ,,t i O ,� 'Y • �- • J� ' otal Sq./Sa 6 1 Fr., Co c.. Br.,et .) d✓
Stories ( Dimensions- Ft VA,luation Y
Rooms .r Baths / Basementt A PJ'. Foundation Const � d��+-oto Chimney +' Fireplace
��--//-- (Full, part, no ei }- (Kind) (Number .
Heat. Systemr G / =/¢ . Type of Roofing F,j�7(-, F�im� / // Int Wall Finish
i(iC.� --//
No of Units—Bedrooms �i
Use of Bldg. _A/4A_r 0
/C
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
I hereby cer
as shown. X
NORTH
SOUTH
REQUIRED
Plumbing Permit
�w Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
67578 Mico
ormati n sub it ed is correct and there are no other structures located this property except
S-S� 7i
er or : nt
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TN, IS NOTA PERMIT.
et ah
ern Your street address will be
Sewage Permit Number Issued
Remarks
00 NOT WRITE BELOW THIS LINE
S
The zone is C
Build Permit nil Receipt /73 i Issued
/3 /2L,
Form 523 Bldg. Code