1977, 12-21 Permit App: M466 Residencew •
• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT y;? D�
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
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
/e
Architect G
Architect
Engineer
Contractor
5i}nl r
ddress //62.--/ • ax/T Phone ____ t --
Address Phone
Address Phone
Address
0r,u, oj 35,6 Y.3 - 10 (a 3 Phone
Legal Description of Property (Give completedescription from deed, tax rd
of ceipt et
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DESCRIPTIO OF WORK. New - Addition Remodel Moving
7� %S// X/3,/off'/
Stories rrrllr' Dimensions t '54' X r
Rooms / Baths / Basement
/ %%�J (Full. part, none
Heat. System to ie/ecff/Qype of Roofing,
Sewage System
Bld , Zone Fir Z e
Fire
Size of Lot
Use of Bldg.
1 ,W Av
oz'2-r,C'.2 )-/ Total Sq Ft L�
Foundation Const (.as't01+2 Chimne
Ext Finish r:/—/ Int W
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
-1
NORTH
Dost
IFr., Conc., Br , etc.)
Va)uation or-Z:OcCI
Fireplace (/J
(Kindf N mbar
all Finish 410111 119
Units _Bedrooms ra--.
C ' `'` •" No of
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewag sys-
ESIDENTIA
— COMMERCIAL
u
I hereby/4gtjify info
as shown.
A LD USE O
TH IS NOT i ' di
i
Your str--• address will be
Sewage mit Number
Remarks
TH
State License No.
(.7C -PC -NC aJ''C
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
IA Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted 1s correct and there are no other structures located on this property except
��/�/b 7
D e
MUST BE ON THE PREMISES BEFORE ONSTRUCTION COMMENCES.
or Agent
NOT WRITE BELOW THIS LINE
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Issued
Building Permit
The zone is
Receipt 0 it Issued
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