1977, 08-02 Permit App: M2662 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT CO d a
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with thl
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
Name of Owner-Ztv‘‘\ S S,. Address
Phone
Architect Phone Engineer Phone
Contractor Address Phone
Legal Description ofP�Operty tole, co� te'scr ion rom dpRd'tax�etc�
3 6c a1k 1..) Vw ,b tZ' a c� /
DESCRIPTION hW R Addition Remodel Moving Bld Zone Fire Zone
Size of LotSewage System p fire Stori � � (�
Const 1^ r' Dimensions ---t\kq'0 ', tl-Q Total Sq. Ft IS-82p
Valuation 1
(Frame, ncrete, bri etc.) II
Rooms Baths V Basement Foundation Const Chimney - Iireplace��taft
(Full, part, none) r ,,, l (Kin ) (N ber)
Heat. System ' N pe of Roofing �Ui it I) Ext Finish WOO 'A Int. Wall Finish
Use of Bldg. e,4.: No. of Units I Bedroo
C arport
•-a_l_LIQ
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Private Detatched
NORTH
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
ni Heating Permit
N Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her certify infof'mgtion,.Sltbmitted,is correct and there are no other structures located on his property except"
as shown
Owner or'.kkent
Date
A LAND USE 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 l 1.2
' L 5 . M -rtt144e VzoneIs�p
Sewage Permit Number Issued Building Permit Receipt 5sie Issued
Remarks
Form 523 Bldg. Code
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