1977, 04-08 Permit App: M2174 ResidenceCounty Spokane. okane. Washington
P
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 ariy
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with they
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.
s
nd
ents
whichlareVenforce enforceable throughrs civiluaction. Ccheck ountysions Officialsf ocanants or not bringdactionntoaenforrcceecovenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
Le al Description of Property (GQve complete desc ijn from e , tax eceipt, etc
- (,k A 72.n j -e) -d
ddress
Address
Address
Address
Phone
Phone
Phone
Phone
DESCRIPTION OF WORK: New X Addition Remodel Moving BldZon �1- Fire �jone
Size of Lot �R !t /Cv�i'' Sewage System i<2 oast. f' /R li it E
/ ,, FFr., Conc., Br etc.i)O�
s ies �vr / �l �� Total Sq. Ft Valuations
ies Dimensions � /� ��_�J_
Rooms �n Baths Basement / 1/ Foundation Const. / inne T�
((Full, part, none) % [/, �l
Heat. System81; H . Type oaf Roofing �5/lCi /! C Ext. Finish /.,�1(X d
f,47(7/g
Use of Bldg.Qyl'1�? (L
Draw sketch with dimensions
proposed buildings; (4) distance to
tem and water supply lines.
Chimney Fireplace
(Kind) n (Number
Int. Wall Finish 7) Pry/��w 1 /
No. of Units 4.. Bedrooms 3
PLOT PLAN
showing: (1) property lines; (2) street or road locations; (3) location of existing and
property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH
RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c,,pti ?y information submitted is correct and there are no other structures located on this property except I's!
as shown. %
•
Owner or Agent Date
A LAND' SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J {I( 4,
Sewage Permit Number Issued
Remarks
Building Permit
,^ ' The zone is 7Fe.,;21.1 .F.t, ><..
- Receipt X" T G- ` Issued
(Mt
O
, •
rd A
iiirit Dc
6g
fTh
PO