1977, 04-08 Permit App: M2183 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
GENERALAPPLICATION FOR LAND USE OR STRUCTURE PERMIT
REQUIREMENTS
PERMIT FEE __________________________
P I1 UI A land use or structure permit is required by County Resolution to erect a building or structure of
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. i
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 Reads, permission must be obtained from the County Engineer's office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-233 and 4?.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 EL THIS LINE
Name of Owner
Architect
Engineer
Contractor _
t tt rs s.•
Address ZRIO Ae%M Phone
Address _e, Phone
Address Phone _
Address _ . I- R / , _ Phone
p� deed tax receipt etc ) Pa e1 Number'-"'
t ' r
0-70-1, -----"-,. ,m.e.........:.�,..,.,�.�,-r,�w.n.�m�sr+^�re. s�+s'��egf"�:5i➢:�9iyL"'.;'�7�( v'
DESCRIPTION OF WORK:�Now � Addition Remodel Moving Bldg. Zone . --� Fire �gane
Size of Lot Sewage System onst.
sx r s t r.. Cone., etc.)4
Se les im sions Total Sq. Ft. luatson
Rooms the Basement Foundation Const.. Chimneyk(Kidd)Fireplace
Fu i,. part, n (Nuenb$r�
Beat. System eT pe of Roofing Ext. Finish Int. Wall Finish rr
13ae of Bldg. No. of Units Bedrooms
_11 -
Draw sketeh with dimensions sh itig (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; (S) location of sewage Sys-
tem and water supply lines.
NORTH State License No.
ee+
I hereby cert
6 as shown.
Ind. Ins. Acct. No.
RESIDENTIAL ® COMMERCIAL
RE9UIRED
Plumbing Permit
Heating Permit &-.11 �dcA_ _F
H Sewage Permit 'r ,.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submitted is correct and there are no other structures located on this property except
., 7 P
Owner or Agent ' Date
LAND USE OR STRUCTUREIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIONCOMMENCES.
THIS IS NOT A PERMIT.
4
Your street address will beX�
The zone is(`
r rl4-
Sewage Permit Number
Issued Building Permit"I, Receipt 5"'f
;Issued
rks
Form 523 Bldg. Code
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