1978, 04-07 Permit App: M5670 Residence, Renewal of M0461I
County of Spokane, Washington p
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ii
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 15
GENERAL REQUIREMENTS PERMIT FEE
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.
APP ICANT FILL IN BELOW HIS LI E
/y�W��%7 to
Name of Oi�///../L_ Address /�/Lfr/.fr-J��!�� one
t Phone
Architect Address
Phone
Engineer / / % / I / n Address _ Fl
Contractor` . C'f�` J ( ,Gf'/[-✓ Address
Legal Descr'ption f Property (Give complete description from los receipt, ete.) Parcel N her 72725—
Air
ROADWAY R/W WITLO' /
DESCRIPTION OF RK: N�✓w �Addition
/ L/ /
Size of Lot /(//1/
Stories / Dimensi s _5
,Q
Rooms /� t Baths Base :n
Fu I, part, o
Heat. System Type .f Roofing s E
Use of Bldg. 1.Q/a/4/yi, 4�elf/ 4
PLOT PLAN
Remodel
Moving
Sewage System
Foundat
on
C
St
Bldg. Zone
j4 .I
/ Fir e
,`TSq Ft
t
Chimney
onst,
(Fr.. Conc., Br., etc.)
Valuation
Fire
(Kind) /` (Num
Int Wall Finish
No of Units _Bedroo
e
2'
r
s
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
as sh
I X43 by -rtify in
SOUTH
bmitted is corre
Afet rte.
m
y
Ind. Ins. Ac'AV No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
: ,tt -ct-
and there are no other structure locateon this property except
7,
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Tour street address will be
Sewage Permit Number
Remarks
DO N • T WRIT ELOW TNI LINE
Issued
Building Permit
e zone i
Receipt
Form 523 Bldg. Code