1977, 04-12 Permit App: M0792 ResidenceL
0
CInty of Spokane, Washgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '�SZZ`2_
GENERAL REQUIREMENTS PERMIT FEE ____________________________
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of at&
kind or alter any building or structure already erected, or to change a land use. Construction must conform witb the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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
Name of Owner
Architect
Engineer
Contractor _
Legal Dpscripti
'n n.-. lx� �l As _ F 1�_r Address / ' / / / i Z 1� f ull l"1 i" 1.t ( i'_1 V r
Address
Address
Address
(Gi, a complete
tax receipt, etc.)
Phone
Phone
Phone
DESCRIPTION OF WORK: NewAddition Remodel Moving Bida. Zone,_� Fire Zoe
Size f Lot v / Sewage System �C, Const.
'p► tf:7-P19 7TT
(Fr., Conc., Br., etc.)
Sto ies Dim nsi s Total Sq. Ft. Valuation C'- �-
Rooms Baths FullBasement
a a none Foundation Const. Chimney Fireplace
p (Kind) (Num r
Heat. System Type of R fing Ext. Finishl Z�� Int. Wall FinishLJ ti I
Use of Bldg. Lt A n.5:No. of Units /—Bedrooms
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 snnnly lines_
NORTH <_RESIDENTIAL — COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED Q
Plumbing Permit za,5 1,
M Heating Permit
a
N Sewage Permit
Plans Received
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed _
C
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. -, n 1 _ _ / i
J Owner or Agent Date
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 / / �ti The zone is
oq
Sewage Permit Number Issued uilding Permit tLIA74 Receipt _ Issued
Remarks