1977, 10-18 Permit App: M3802 Residence• •
County 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 byCounty 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 SYSTEM. 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 1s 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
Phone L (-5.2 9'd
Architect Address // Phone
Engineer _ /J Address 4,-4(N,�-.r-tP . ql U 7 Phone
Contractor Q- a.° Address Phone
L e asp on of Pr y (Give c plate description fr deed, tax races , etc.) Pa� Nurpber �3 - S —y�
-
DESCRIPTION OF WORK: New Addition
Size of Lot y0 % 13r1f,✓/ G
Stories / Dimensions :9,/rn 6 / d Total Sq Ft /'� Valuation.
Booms �B tha Basement Foundation Const w� -t/ — Chimney (L1 Fireplace( �/ _ (�r (Fufl, Pert, no
p(-�e`�: y ste Ii
Use of
Remodel
Sewage System
Moving Bldg Zone Fire Z e 3
Const.
� r.. CYY�tc:, � gtc.l
YA tt Type of Roofing ` Ext Finish 71--77g Int Wall Finis
- No of Units Bedrooms
—2 OT PLAN
D "ske ch with dimensions shawl (1) property lines; (2) street or road locations; (3) locatio
proposed but dings; (4) distance to perty lines and streets; (5) dimensions of buildings; (6) location
tem and wate supply lines.
NORTH
sewage sys-
H
RESIDENTIAL - OMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
N Sewage Permit
N
Plans Received
SOUTH
Plans Checked
Plans Returned
Plans Picked Up
Plana Mailed
I hereb)d ceytjf)' information Qubmltted is correct and there are no other structures located on thisroperty except
ayphown.
'C -O
V Owner or Agent Date
•
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO RITE BELOW THIS LINE
/0
(
77
Your street address will be
Sewage Permit Number
Remarks
The zone �I�a/t.
i
%gU ZReceipt/A Issued
Form 523 Bldg. Code