1977, 03-28 Permit App: N0192 ResidenceC my of Spokane, Was4gton
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 builds g or strut ure ,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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner S. As /i Address
Architect _ Address
Engineer - Address
Contractor Address
Legal Description o fiProperty (Give com lets ascription from deed, tax recei t etc I
t-'�
/
DESCRIPTION OF WOR New L' / Addition Remodel Moving Bldg. Zone —/ Fire Z 0
Size of Lot )! /�j ` Sewage System .-i � % Const.
! ! (Fr., Co y Br., etch))
Stor' imensions ✓riz. Si�h_.�. y' 1� Total Sq Ft Valuation S es%
Room Baths Basement Foundation Dost/ Chimn - Firep ce -2----- '
I, part, no
� %�e ('in. (Number
Ty 4 e i t F'ni-9/f Int. Wall Fi
•
No of Units _ Bedr
?'�
Phone ,9y `/d y/
Phone, /
Phone
Phone
HeatjSyste
Use of Bldg
Roofing
PLOT PLAN
Draw sketch with dimensions sh'-ing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance i . property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
ns—
I
as sh
iV
•
0
•
F
1,
SOUTH
yZ'
V2'
Y2'
REQUIRED
Plumbing Permit
on Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
certify informat'.. subm . is correct and there are no other structuress located on this property except
Owner or Agent late
A LAND USE OR STRUCTURE PERMIT MUS ' E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS INE
Jn/ �'®/G Ca9�z
Your street address will be ,,, The zoom e
Sewage Permit Number Issued Building Permit /////ttLt/1D'G 7 Receiptssued !
Remarks
Form 523 Bldg. Code