1977, 04-08 Permit App: M2185 Residence•
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Canty of Spokane, Wasegton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,q
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 -I
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the t
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner i II I: 2 . _ _ 1 0 . Address
Architect Address
Engineer Address
Contractor _"ikisr G Address
Legal Description of Prr erty a iv complete esc ip •on from deed, tax
oc 7 o f?kQ
P� 2�-e-J ivo . - ,/15L-/ o 9 D
_ • 1 _ 1I
Q49 2D
Phone
Phone
Phone
Phone
DESCRIPTION OF WORK: New
Size of L t
(41 aStories Dimensions
Rooms Baths
Heat. System
Use of Bldg.
1fi
Addition
Remodel
Moving BId
Sewage System
BasementII Foundation
Full, part, noneU
Type of Roofing
m� ( )/ A
ZoneIc� / Fir8Zone
Const. ,C.fl nEs
Fr., Conc., : r., et
Total Sq. Ftey lup
Chimney ( Ind) Firerepllace (Numb r
Ext. Finish Li'flr)Q Int. Wall Finish
f D jf)( �F No. of Units.., Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
RESIDENTIAL — COMMERCIAL
I hereby certify infor
as shown.
SOUTH
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
itted is
m
N
-4
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
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DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be /,:_15j9-' •.c5, ,,,(1.4' .,!, f,L _ s i� /- The zone is 14-/� �! li!.ld K ���!
Sewage Permit Number Issued Building Permit ,dJ Receipt a % E>,� Issued
Remarks
Form 523 Bldg. Code
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