1978, 07-24 Permit App: M7285 Addition•
County of Spokane, Washingt
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WAS
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �J
GENERAL REQUIREMENTS PERMIT FEE.ch_
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 BELOW THIS LINE _44 Q � 799297
Name of Owner Address Phone
Architect AddressPhone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /75-513- ,7 t 3
APPROVED AS NOTED
Spokane County Bldg. Code Dept.
Aate '
-63
r 3 5- a,
R AD'WAY RAMI MI, IRS
DESCRIPTION OF WORK: New Addition X Remodel Moving
Size of Lot X
Stories LDimensions / 6 X —3
Baths N u i, pasrtt, none
Type of Roofing %�/lii Ext. Finish
0
PLANi
PLOT
Rooms
Heat. System
Use of Bldg.
Bldg. Zone / Fire Zone
Sewage System
Foundation Const
Total Sq Ft S?�
Chimney
st.
Fonr.. C
Br., etc.)
Valuation. q/ n4 Dov
Fireplace /V/41-
(Kind) (Numbqr
Int. Wall Finish >0'
No. of Units edrooms
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
SOUTH
rn
N
I hereby certyify information sub ted is correct and there are no other
as shown.
Ow
Agent
State License No.
Ind. Ins. Acct. No.
SIDEhiICOMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7/-1 v/7 eig4f,t.st-e)
structures located on this property except
7/ 1/'7 r
Ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
Issued Building
rmit
The zone is
Receipt Issued
-14,0;fr
Form 523 Bldg. Code