1977, 05-15 Permit App: M1321 ResidenceLI) •
C tY Spokane. S okane. Washlgfon
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI o---
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 THIS LINE j�'j�6 q�
•ddress � 1— C1�—xO phone ( . T — 1153
Name of Owner
Architect
Contractor
Phone Engineer Phone
Address Phone
Legal Descriptio of Property (Give com ete d scrip on from deed tax r ceipt etc.)
Q�.vk o -k '‘'..\-c�.1 'ems ' 9o(8 ,moo, - cto Y)
DESCRIPT O)F WORK: 1\1w Addition
Size of L r ► l -- 1... 1, 4
Const. `4 , -KL Dimensions
(Frame, concrete, bricl{, etc.)
Rooms Qi
Baths
Remodel Moving
_f) Sewage System
1�s 1 1(O� �(� Total Sq. Ft
Bld
Basement
u11, part, none)
Heat. System V ZS Typeeo�of__Roofing
Use of Bldg?
irage or Carport
Foundation Const
'
Ext Finish
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-
tem and water supply lines.
Wim\
one.
Fire Zone
Stories
Valuation
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No. of Units 1 Bedrooms
Private Detatched
NORTH
SOUTH
m
Ts
N
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her by certify info rtion bmitted is correct and there are no other structures located
on th' prop1erty except
as shown. I VkI1
Owne or AgentCY\NDate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTR CTION COMMENCES.
THIS 1S NOT A PERMIT.
12 DO NOT WRITE BELOW THIS NE
Your street address will be
Sewage Permit Number Issued :lding Permit
Remarks
e zone is
Receipt 934,3 Issued
form 52S Bldg. Code
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