1977, 05-16 Permit App: M1336 ShopCounty of Spokane, Washington
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 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.
HATER. 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 OP 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 `S/.JO 99,Q O 6
Name of Owner Address
Architect Address
Engineer Address
Contractor _s. YZ 2 J 2 & L- Address
Legal Description of Property (Give complete description from deed, i
receipt,
:UbLJ Phone X-21
Phone
Phone
Phone
Number i' ��9 22
DESCRIPTION OF WORK: New _lG Addition Remodel Moving Bldg./
Zone l Fire Zone 'J
Size of Lot x o Sewage System �'- Const. / 1<
(Fr., Conc., Br., etc.)
Stories_LDimensions -x <- Total Sq Ft. Valuati !C'�'
Rooms BathsBasement " ' 4 Foundation Const.. `� �' Chimney ' Fireplace
Fu 1, part, none l / 1l Kind) (Number
Heat. System Type of Roofing Ext. Finish ���3�= e--�l`�= Int. Wall Finish
Use of Bldg. fes%c, No. of Units _--Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines s,d streets; (5) dimensions of buildings;
tem and water SUDDly lines.
SOU TH
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
in Heating Permit
30
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures ,ocated on this property except
as shown.
� �" f A;
Owner or Agent DA/to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address •111 be r -? Z ��-�,:, (�,.Lu . The zone is
Sewage Permit Number Issued Building Permit �� �
Receipt �issued
Remarks
Form 523 Bldg. Code