1975, 06-23 Permit App: L0585 MHj-1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 .• j
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE I L. —
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 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 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.
RESTRRICTIVE 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 of Owner 09
Address Phone
Architect Address Phone
Engineer PmSf�(•ilf� -�sAddress Phone
rnefV
(Si
al Address `y
adeed tax receipt etcr- Les
' 6 ?ssl _ 0 F it l
DESCRIPTION OF WORK: New C Addition
Size of Lot 7V x /✓ 7
Remodel
dol
Stories Dimensions
Rooms Baths Basement TO Foundation Const
IF L part. none ' / /j (Kind) (Numbe
Heat. System ype�off1Roofing� n�7/(�J� E�xx Finishy 911-1-6 Int Wall Finish �j
Use of Bldg. . ' . / �,,Z, u%"'u No of Units 4. Bedrooms -Y
Moving BI Zon /
Fire Zone
Sewage System) Const.
/Yt al ., etc.)
T•tal S• Ft � Valuadotiot O. 0 00.60
imney NQ Fireplace NQ
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 sewage sys-
tem and water supply lines.
NORTH
I hereby cert informati
as shown.
SOUTH
n submitt
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
r11 Heating Permit
Sewage Permit
-I
Plans Received
Plans Checked
Plans -Returned
Plans Picked Up
Plans Mailed
d is correct and there are no other structures locat
Owne] or Agent Date
A LAND USE OR STR CTURE PERMIT MUST BE
THIS IS NOT A PERMIT.
6, Met/ea
Your street address 1111 be 61/ 07-3
7
this property except
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued
Remarks
The
zone s
Building Permi OS B'SReceiDw// (a Issued b
Form 523 Bldg. Code
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