1978, 03-30 Permit App: M5634 AdditionCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992Oj_,%
APPLICATION FOR LAND USE OR STRUCTURE PERMI
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 oneater 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
Name of Owner Address C"�9/0 f `��� Phone
Architect Address Phone
Engineer Address {�" Phone G
Contractor ♦ . .i� : - Address Jr/ fl t & t7 i X9/9 -Z / p Phone 4 p 9' --411/401,7
Descrip .hof Property (Give a plate description m eed, tax rec ipt, etc.) Parcel Number 4
V
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New Remodel Moving Bldg. Zone, yL...— Fire Z
Size of Lot 0 X I l( i
Stories I Dimensions
,7-33
Sewage System
onst.
"�LL77�� Fr.. Codes Br., etc.)
Total Sq Ft Valuation A),QOci
Rooms BathsBasement Foundation Const
4 Fut(, part. none ,,,QQQ111��' ,l (Kind) (Number
Heat. System Z-(14,40 Type of Roofing Ext Finish Y� Int Wall Finish--
Use of Bldg. ..0-4Jn li /f-AZ'w- i /LA -r/1- 4,ot No of Units _Bedrooms
PLOT PLAN
Chimney Fireplace
Draw sketch with dimensions showing: (1) property lines; P(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.
WLaNORTH
3O'
5v
I he
shown.
RES T ENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submitted is c�. rect and there are no other structures-,locaed o. this property except
L 0
Owner or Agent Date
A LAND USE • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be 9y/O )'%?9_ f�(�� The zone/^1St
Sewage Permit Number Issued Building Permit/1-5434 Receipt l� i1Issued
Remarks
Form 523 Bldg. Code