1978, 03-28 Permit App: M5498 replace M1756 AdditionCounty 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.
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 enfor a cov nants or dedications.
`�/ AP LIC • T FILL IN BELOW THI_
Name of Ovate Address�PI P2,��OFi•Phone
Phone
Phone
Architect Address
Engineer i Address
Contractor 1//771/ /y Address ,, �h • y/ i D��S
Legal Descripti . of Property (G ve omplete description from deed, tax receipt, etc.) Parcel Number
75
wAidirOMMINNfrrArAIWI
DESCRIPTION OF WORK: Ne Addi
Size of Lot
Stories Dimensions
Rooms Baths Basement
Fu I, part, none)
Heat. System �--,s Type of Roofing
J
Remodel
Moving Bldg. Zone
Sewage System
./b �� Total Sq. FtG
Foundation Const
Use of Bldg.
FireZ e�
Const.
(Fr., Conc., r. etc.)
Valuation
Chimney Fireplace
(Number
Number
(Kind)
Ext. Finish Int. Wall Finish
Draw sketch with dimensions showing: (1)
propose. •s ldings; (4) distance to property
tem r supply lines.
NORTH
PLOT PLAN
No. of Units Bedrooms
(6.4,9 v. )it /7 5-61)
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
ip o mation subm_ ted is c
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
en Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rect and there are no other structures located on this pr.perty except
er or Agent Date
OR TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
S NOT A PERMIT.
/ DO NOT WRITE�RBEL'THIS LINE
Tour street address will be if3 ! In 0 / ,
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt oe3 IP
sued
Form 523 Bldg. Code