1978, 03-27 Permit App: M5456 MHCounty 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 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 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.
e?
APP ICANT FILL IN BELOWnTHI
N--- -s n etlmm�/ i // % Address Ic G'��
iotrchitect Address
ngineer Address
Contractor _._ r Address
IN
Ad. Zez A
'.i
Legal Desgription of Property (Give complete descriptiopom deed, tax receipt, etc.)
/h .2J -Liajebt-alti-1.1
ithb
P s el Number
one
Phone
Phone
ROADWAY R/W WIDTH
DESCRIPTION OF
Size of Lot
Stories
Rooms
Heat. System
Use of Bldg.
(174 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.
WORK: Nev,T Adl1i 'on /
/el 55
Bathe - IFsiII, part none- Foundatio Const
f Roo
Dimensions
Remodel
/
Moving
Sewage System
Fire Zone
Const.
Fr., Conc.,,arre Dy
Ft. Valuation / /
Chimney 774 Fireplace -V[�
(Kind)
(Num r
PLOT PLAN
Int. Wall Finis
No. of Units _B .rooms
NORTH
m
N
State License No.
4-4/l9/#t/
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
11 hereb certify information submitted correct and there are no other structures loca d on th s property except
a sown. 7e54
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
C3y,_ 41 DO NOT WR BELOW THIS LINE
Your street address will be Z('- '(O
Sewage Permit Number Issued
Remarks
C.IC/
Building Permit
The zone
Receipt
Issued
-74 .7.4f/-.0'77
Form 523 Bldg. Code
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