1978, 09-09 Permit App: M0522 Residences
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT p/
•GENERAL REQUIREMENTS PERMIT FEE "LO
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.
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APPLICANT FILL IN BELOW THIS LINE
Name of Owner i'jrNC. 't .LJCC{4/4Address
Architect — Address Phone
Engineer'--- Address Phone
Contractor S tsr. Address 7T,tPhone
Legal Description Of Property (Give com to description from deed, tax receipt etc 1 AZ t /14-5-/- 051(. 3
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Phone 4J�3.r 74
ROMWAY R/W WIDTH 5Z'
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone 1 Fire Zone ! 21
Size of Lot (ft y / 1 y Sewage System Soo tG �onst. F�
p Fr., Conc., Br., etc.)
Stories/ Dimensions LPX 35' ,.2) M 2 6 r .,i 2 Y.1 y /01 la— Total Sq Ft /p 32- Valuation J�yy'� CI
Rooms Baths 1 Basement ` 7_I-'- Foundation Const (�N! key -{L Chimney C�� 14 Fireplace /
Full, part, none) . (KKKindl/ in (Number
Heat. S stem f T e of RoofingM Ext Fin/I/,sh P/ f id r�f.V Int Wall Finish IJt' y Le, /1
Use of Bldg. 11�d r N LL 7" d t �'.ff�_/ / No of Units Bedrooms 2----
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; -(2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
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I he eb certify informs
as shown.
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submitted is correct and there
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
617') 'NAMo cj'/I 11-2• DO NOT WRITE BELOW THIS
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(3) location of existing and
(6) location of sewage sys
State License No.
5&krC 3/7DN
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
9r
Date .
PREMISES BEFORE CONSTRUCTION COMMENCES.
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Your street address will be
Sewage Permit Number
Remarks
Issued / Building Permit
Form 523 Bldg. Code