1978, 10-31 Permit App: N1295 replaces M2180 ResidenceCo* of Spokane. Washilbon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260
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. Con-
struction must have inspections.
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 is required. See current
Spokane County Zoning Ordinance for all required set -backs.
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 performea 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 building (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 �,�� /� �-hone 117'7`'/3
Name of Owne
Architect .
Engineer I d
Contrac
Legal Description of Property (Give co
Address
Address
Address
Address
om deed, tax receipt, etc.)
Phone
Phone
von
Parcel Number. 2
DESCRIPTION OF WORK:, ' d ti r R s.d.1
Size of Lot e '/J�(�
I i nsi ns x -2-6.246'x.52
Stories D me
Rooms Baths
Heat. SystenE
Use of BId
WAY R/W WIDTH
Base
, part, n•
Type of Roofing
)
Foundation Const.
e System
BId•. Z.. Fir
Total Sq. Ft. 2 e
Chimne
xt. //F ii n
.a71�� . .4WJ)J
W41-1/-&-idPLOT PLAN
const-
Fr., Conc.,
Valuatio _
Fireplace -2.
Number
(Kind)
Int. Wall Finish
No. of Units Bedrooms'
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 buildi ; (6) lo :tion of
tem and water supply lines.
m
to
NORTH
APPROVED BA�
Spokane County . NOTED Code Dept. a
Date
ONTO
I hereby
as shown.
A
TH
SOUTH
m
wage sys-
tate Lic se No.
,223-D1 -3 6
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
/////, egee-;
rmation submi is co ect and there are no other structures loc
Owner or Agent Date
USE OR STRUCTUR ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE
1//' ` , fi DO NOT WRITE BELOW THIS LINE
i 4011011,1
ed on t'is property except
D
4
Your street address will be
Sewage Permit Number
Remarks
/2D>
Issued _
Building Permit
.e zone
Receipt
.+ r' /
Issued
'l