1978, 03-29 Permit App: H5493 ResidenceCo inty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT4g
G
I 61, ENERAL REQUIREMENTS PERMT FEE.._�SZ ---_-----------
PERMIT MUIRED. 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 andState 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. 450133 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 251 is required, a 5' side yard, 151 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 BELOW THIS LINE
Name ofowner —111HUX
A/1-aZ62 F, 32C13
7i"c
L
-
Phone 5 3
Architect
Address
_-L"
---Phone
Engineer -- -
Address
Phone
Contractor -A&,
446'LLIC Address
/* PhoneC
Legal Description of P rt
ope
(Give cW11'ete description � t
i ton fyom deed, ;)rec Topt, el to.)
Parcel N b9ir
1 tll
J!
ROADWAY R/W WUIT14 -Se
DESCRIPTION 0 ORK: No Addition — Remodel Moving— Bldg. Zone Fire Zone
& r
S' fLot Sewage System,, 2e.3 le- onst.
Conc." Sr.,
Stories LL Dimensions 3c, 6.5,611 Y"i"f
otal Sq. Ft, Valuation
Rooms _.�L_ saths, Basement Foundation Const..
Sol
WA
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 sewsys-
tem and water suppagely lines.
I hereby c
as shown.
State License
Ind. Ins. Acct. No.
Plumbing Permit
M Heating Permit
)p
on Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed —
SOUTH
I
submitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERAOT.
Your street address will be 1 qf/,,9)V
L P':Ml I /L7 The zone is-!,::: F /Z
Sewage Permit Number issued Building Permit &-s-51K Receipt 6222 Issued
Remarks
Form 523 Bldg. Code