1978, 05-12 Permit App: M6405 renewal M1756 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 Z2 -14e. APPLICATION FOR LAND USE OR STRUCTURE PERMIT
y
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 enforce covenants or dedications.
40.
Name of OwnerIi
Architect
PPLICANT FILL IN BELOW THIS LINE
Engineer
Contractor 4L ega I
Legal Description of j operty (Give co piste des ription from deed, tax receipt, etc.) Parcel Number/ s / -� o 7a j
Address
Address
Address /)
Addres
G/9 z -a
Phone
Phone
Phone
Phone
ROADWAY R/W WID
DESCRIPTION OF RK: New Addition Remodel Moving Bldg. Zone Fire Z. e
Size of Lot ( L/ y i , Sewage System r7+�onst.
(Fr., C' :r., etc.)
Stories Dimensions (a kt 3 3, 3 6 y Total Sq. Ft Valuation
Rooms Baths Basement /2 Foundation Const 0_61,4 _.,.).-__________Chimney — Fireplace
o{ //�� (Full, part, none) (Kind) (Number
Heat. System ,e0 (Full,
Type of Roofing Ext. Finish Int. Wall Finish G%� ofS �✓�
C/`-
Use of Bldg. -etzL' � h A '� No. of Units —Bedr ms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
m
co
I hereby
as shown.
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
.-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
.fq%mati�n submitted is correct an there are no other structures located on this property except
7 V
ner or (ggent\ 7?'
Date
A LAND USE •STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
C',° TN'\kr"')
i0�i
Tour street address will be GJII 1 6 -1 ' The zone is L �--2''
Sewage Permit Number Issued Building Permit 'Y ( Receipt ssued
Remarks
DO NOT WRITE BELOW THIS LINE
norm 523 Bldg. Code