1977, 06-15 Permit App: M1876 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITrC5O
GENERAL REQUIREMENTS PERMIT FEE 6
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 most 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 SYSIEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
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 throu:. civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of 0 ;,- �i �!i� � i- sd4 �� Address A rnre- PhoneL�
Architect �- / Address / A • Phone
Engineer Address Phone
Contractor Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lc1r,�f" 70' S /oma` 1 T lq
Phone //
Parcel Number l 2S3 / - 6,a .Sp
DESCRIPTION OF,�WgqORK New .g� Addition Remodel Moving BBId�. Zone / F. e V
Size of Lot / V®!J Sewage System (F�nsC nc.Br etcJ
Stories !/ Dimensions �/— ) ` /6 A ad-- Total Sq. F6 �IValuation �•t'r�
Rooms !' Baths Basement Foundation Const-
u 1, part, n �— Chimney Firepla e
(Kind) (Nu
Ty of Roofing _ Ext. Finish at
Int Wall Finish .04(a. ' -/
Heat. System
No of Unitsi_Bedrooms
PLtr 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
State 'ee No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
to Heating Permit
NSewage Permit
-I
I hereby
as shown
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tted is correct and there are no other structures locat d on is propgrty except
27
Owner /Agent Date
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
7111515 NOT A PERMIT.
�y DO PUTT WRITE BELOW THISf1.&.Sewage Permit Number Issued
Tour street address will be P, '/�4 '/ '�JJ 4l LX The zone is
1 Bu bi•mit flA , (,1� Receiptf(9fO :(sued
Remarks
Form 523 Bldg. Code