1976, 06-21 Permit App: L4478 MH• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
a/2 -
GENERAL
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.
•
zoG
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ! v °Cr fG B GY Address - 0 Phone
Architect Address Phone
Engineer Address Phone
Contractor •� Cr -143L0-1'7 (3./ /v1 "4_ Address tt/YrsJL Phone
Lege! Description of Propert (Give completaescriptio from deed, tax receipt9tc,)
.pr' / /OG,� a Jtetr✓/[de-el /26� >-
075S7 —oIo
DESCRIPTION OF cW�O,RK: New ' A Addition
Size of Lot d"1' to S',•/1
1 Stories / Dimensions , )CS
Rooms Baths / Basement it' 7
(Full, part, none
Heat. System Cil P/G. Type of poofing
Use of Bldg. 6 -/e rile_
Remodel
Moving Bldg. Zon
Sewage System-35finav-
Total Sq. Ft. /120
Chimney
(Kind)
Founda7 Const
5/o e_
Ext ish C /d/
u't�S E2 Pc,C erns -c
Fire' Zone
o
Fr..,. Cpna, Br. a c.l
Valuation eao
Fireplace
(Number
Int Wall Finish
No of Units Bedrooms r�
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.
rn
rn
y
NORTH
SOUTH
I hereby certify it}6 tion submitted is correct and there
as shown.
State License No.
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
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
l�M# h'I•/44)
Date
CONSTRUCTION COMMENCES.
Zn
DO NOT WRITE
j BELOW
//TTIS LINE'//
Your street address will be Zo F� �0 ±.--9/- w/ h c) j G The zone is -/
Sewage Permit Number Issued Building Permit ' Receipt %/g .5 Issued
Remarks
Form 523 Bldg. Code
rye
1'eoryc. kiaIke v View iff& o f NouNr View riye.
//dull 7i I e4014/yr✓
me/1
r