1978, 06-15 Permit App: M6853, Residence, Renewal of M0628yr"'
• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE Ul/
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 eater 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 47235.
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 1s required tic 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 dedlcat ions.
APPLICANT FILL 1N BELOW THIS LINE
Name of Owner i n • ., i. %, Address ! '� ,�
•' one 77,2 — 'SC/ S
Architect / Address Phone
Engineer Phone '/
Phone
5 5713— Qoo2y
Address
Address 7-44-4
al Description P pertyy (Give coin fete description from deed, tax receipt, etc.) Parcet Number
DESCRIPTION OF WORK: New Addition Remodel Moving Bld Zone Fire Zoe
Size of Lot 7-!l 1� AZ 4r / (� Sewage System IFr.. (o r„ etc.)
Stories Dimensions X "' !1 ' Total Sq Ft ! _ Valuation
Rooms Baths Basement /GO Foundation Const 0 twi-L11-er
himney �+ -
Fu I, part, no (� / (���_ y )Kind)
Fireplace
Heat. System Type of Roofing s y( w�u Ent inish Int Wall Finishe-cpy
Use of Bldg. /i _/ No of Units _Bums
PLOT PLAN
Draw sketch with dimensioshowing: (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.
State License No.
Ind. Ina. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit V/I
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ertify inforn submitted is correct and there are no other structures located on th' property except
Owner orDate
D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
51S NOT A PERMIT.
t$l C DO NOT WRITE BELOW THIS LINE
c /+
Your street address w111 be 27/09... 0 g d - 47-A- atri-Cr 4 (� The zone in
Sewage Permit Number Issued Building Permit Receipt/. ;r r t
Remarks
Issued
Form 523 Bldg. Code