1978, 02-09 Permit App: M4880 Residence41
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .y
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 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.
AP LICANT FILL IN BELOW THIS LINE Q }�
Address / 42 �'J Phone
Address Phone
Address Phone
Address Phone
A
Name of Owner
Architect
Engineer
Contractor 1: -�
Legal Description of Pro rty (G.4 cqmplete description fr deed, tax re ipt, etc.11 parcel N m e
R ISA -014.)A," 104.) ®' ApAZZ7.a 1fJL4L 0 n 0/(1..1 - )4.- f066
DESCRIPTION OF -WORK: New x' Addition Remodel Moving Bldg. Zone ,, / Fire 7�e .�
'
Size of Lot ' ..e,./1 . "Vt%6 Sewage System _ 4 Const.
s f��% i�
Stories Dimensi /X / �� /� X �� y
1
Total Sq. Ft 2/o
Rooms Baths_ Basement /it .'Foundation Const e19-V?i44 Akett,y`• eplace
FUII, part, n Chimne(Kind) (Number
Heat. System ,.c. T pe o poofing .It/i Ext. Finish LL.J 6- Int. Wall Finish
Use of BIdf"
Fr., Co(b.,
ValuaUo
PLOT PLAN
o. of Units 7LBedroonfg
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
SOUTH
State License No.
1-3 a V = ??3
Ind. Ins. Acct. No.
MMERCIAL
-c 1
REQUIRED
Plumbing Permit..��'J�" '4
rw Heating Permit i
/
N Sewage Permit [ l
4214..
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
T hereby certify informs on submitted is correct end there are no other structurQs located on this property except
as,SLL 1f n �.6 ICJ
•C Owner or Agent
Jif 4C-1
/G
Date
A LANUSE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9`"i-1 DO NOT WRITE BELOW THIS LINE
r ��y
a Your street address will be ,4 / 11°
e zone is
Sewage Permit Number Issued Building Permit , Receipti 3 Issued
Remarks
Form 523 Bldg. Codi
Dov5- wAY 1"
)01
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L41441 k: -,N(11 -f