1979, 03-23 Permit App: N2383 ResidenceCounty 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 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.
MOVIING 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.
APPLICANT FILL IN BELOW THIS LINE
ddress Pr's I'
'J )
Name of Owner
Architect ddress
Engineer - Address
Contrac
Address l( (a -
Legal Description of Property Give c . plete descriptionfrom died, tax receipt, etc.) Parcel Number v
L.rr— �J 8 1 P i rit,s t,)P54- dc111-1 On, .Iab - -- -
i
Phone
Phone
Phone p
Phone%/tT -r' s-7
1
ROADWAY R/W WIDTH
t+ DESCRIPTION OF WORK: New Addition, ' Remodel ving Bldg. Zonp Fire Zone
Size of Lot I -{-� - , •J1 Y CigX Sewage System ( Const. .non'1QJ
J _�/�'ij'�'/, /�1 Q 1Fr., Cone�1n DU
Stories Dimensions T 470 n /� -01.e., Total Sq. Ft Mw� `Vna,,luation' r"1
Rooms 2– Baths ? Basement Q1 Foundation Const t j)� of �,/ Chimney 1 uekdac b ireplace
none1 (� L(.Zt�h(.(Jf9� (Kind) �re,
Heat. System Type of Roofing �!� Ext. Finish Int. Wall Finish
Use of Bldg. /1'lQ, l Q.Ci f j CL17 No. of Units Bedrooms 3
147 (P6'7 4'4-66
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.
PLOT PLAN
u
NORTH
SOUTH
tted is correct and there are no other structures located on this property except
I her y c tify
shown.
State License No.
Pa-rk-uicAL OL)
Ind. Ins. Acct. No.
RESIDENTIAL – COMMERCIAL
REQUIRED
Plumbing Permit
�w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r
Q3
Owner or
A LAND USE OR STRUCTU
THIS 1S NOT A PERT.
Date
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
7
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Perm'. N
Remarks
r
sue
i
Buildin
rmit
) The zone is
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Receipt £7J Issu'd /
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