1978, 03-02 Permit App: M5136 Remodel County of Spokane, Washington 1
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 A 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
6
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.
, APPLICANT FILL IN BELOW THISLINE 9'?7�6
Name of Owner /i/U h f/c/7 r/'O9! e Address (== /a? "L? 6 5V7 v/*)t41 Phone 7-0 -"Z 3—
Architect Address Phone
Engineer Address Phone
Contractor { /c '" Address � ; 0� Phone c�
Legal Descrjpti n of Property (Give co�mpp ttJe dggcripti from deed xyreip�,,-,etc.) Parcel Number .� 71 Y3 — C)20 /
i DC7 J'C+"'�-/ t��t-,2'L4'`' 'fit 6c>o
ROADWAY RAW WIDTH.
DESCRIPTION F WORK: New f / Addition Remodel Moving Bldg. Zone ,,meg/ Fire Zone
Size of Lot /"/�/ Sewage System 'A'/ST! Const. I Rao* �--
j� J (Fr., Conc., Br., tc.) e;.!-_
Stories_._Dimensions 7 X Z otal Sq. Ft. �� Lf Valuation _�
Rooms Baths / Basement/// Foundation Const. e.-----c'' Chimney 45�' 'Fireplace
_ `Fu I, part, none (Kind) (Number I
Heat. System �' S%-721-- T/y�of RoofingAir A Ext. Finish}�'' ,/ ' Int. Wall Finish V Rr G✓ /
Use of Bldg. �lX .�! .%. q .,3- ,?d �✓' No. of Units—Bedrooms
cam. /
/fir PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
propose. .uildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem a.= water supply lines. State License No.
NORTH 1,1 'I /
e/ Aiiiiiiiim
\j /- 21i-z4 L 2r" 7 tZ-.. -t RESIDENTIAL COMMERCIAL
REQUIRED
PlumbingPermit
J n+ Heating Permit
ow
N , to Sewage Permit
-4G -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
g' ag•tit4(00
I hereb c= n • u tted is corr are no other structures located on this property except
as shown.
Owner or gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO 7NOT WRITE BELOW THIS LINE /
r l2
Tour street address will be Com-- / 3-12 6 ç'/ The zone is S i
Sewage Permit Number Issued ilding Permit Receipt 0 11/6 Issued
Remarks
Form 523 Bldg. Code