1975, 07-15 Permit App: L0833 MH Cover111Pr
• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
cc,
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 mast 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 � Address S"Yf 7 L'1 4 t X Phone `' "/"1-3Architect ? i'ct S Address �/ Phone
Engineer
(� Address 'C ) �L (=2 r 1` I1 �('L- `9 Phone
Contractor T3 < ► e S T L 1'\ n fir- s1 Address' Phone / ' /7
6,
Legal scription of Prgperty )Give complete sles ription from deed, tax receipt, etc) /`- -d �'S_ S �' 0613 CC} acs �. � i� i i S
DESCRIPTION OF WORK: New Addition = Remodel Moving Bldg. Zone 1 Fire Zone-j/t
7X//
Stories Dimensions / L, C
1
Size of Lot
RoomsBaths Basement
Full, part, none)
Heat. System Tye of Roofing
Use of Bldg. �,� ri � t G
Sewage System Const.
(Fr., Con
Total Sq. Ft / Valuati.
Foundation Const. Chimney Fireplace
/f (Kind) (Number
Ext. Finish /t/ C' 'Z / Int. Wall Finish
No. of Units _ Bedrooms
PLOT PLAN
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
RESIDENTIAL - COMMERCIAL
4 1 CER SguTH AVE-
I hereby certirly infor ion submitt isicorrect and tl;eVe are no other structures located on this property except
as shown. i f
/:5- - "J ,
ner or Agent Date
A LAND USE 0 STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
State License No.
Ind. Ins. Acct. No.
C.-, /4f
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
{/1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
DO NOT WRITE BELOW THIS LINE
r
Your street address will beAl _ � k �1 / 'l ,� 4 -et. }- 1.- 1 L(i -e /� The zone is 4s2 -,t'' r (+1 (�(.0 i ' iyL�
Sewage Permit Number Issued Building Permit a(c.3 33 Receipt q:/.1,1., Issued
Remarks
Form 523 Bldg. Code