1977, 04-08 Permit App: M2187 Residence♦
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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
A 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
perform4d 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 dedicatiops.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address
Architect Address
Engineer Address
Contractor Address
Le I D scription of Property ( ive comple scripti m deed, x receipt, etc.)
Rid CR`7 *re' /ee.s
1(5"<a Q7'd
Phone
Phone
Phone
Parcel Number
one
DESCRIPTION
Size of Lot
5pl � T
St ries
OF WO Ky�New?� Addition Remodel
2. i
Rooms
Heat. System
Use of Bldg.
i
Moving Btdg. Zo
Sewage System S
mensions � ��R��� Total Sq.
Baths Basement Ft 1/ Foundation Const
(Full, part, none) SA
K1.06)64
.l
C✓ A - Typ of Roofing SAti K. Ext. Finish 1.VQ& l
,� L.) MirA F �Qage
PLOT PLAN
Ft
e. Fire''one 3
Const. Ie f� °.
(Fr., Conc., RE., etc.) ca
Valuation *-73606
Fireplace
(Kind( 33 Q (Numb 1bg
Int. Wall Finish Y
No. of Units J.Bedrooms 3
Chimney
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
f7TCi4e/
I hereby certify i> •'mation
as shown.
AOLGAIa
Owner or Agent
SOUTH
m
a
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED Q
//ir4'7 d
Plumbing Permit }f Uj ('
Heating Permit /I L ({ (fr t
Sewage Permit �/ l� .ti `e-tj
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
mitted is correct and there are no other structures located on this property except
Date
7y
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 Issued Building Permit
The zone is( IA niat.ff 4/
Receipt R7‘,-1 Issued
Remarks y'I
Form 523 Bldg. Code
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