1978, 06-23 Permit App: M6917 ResidenceCounty of Spokane, Washington 99201
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT PEE ...__ _.-----------
e of
PERMIT RalID•�liuse or structure ascyucgeslnto erect
g or rthe
kind
ortter bulding orstructurelreadyereted, ortohanaland use. constructionnmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER.
Water shoulders must
bditchesved of County Roads, the County apermission nd State emust bealth pobtained froomrthe oCounty rk on BEngineter er'stofficethe isturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nas. 45-133 and from
t.
ET -BACK 25'FROMrPROPERT LINES. In most
yardzones
ss ndide underard fmost
acircumstances,
ng ,sandbac251 rearhyard oare nt prequiredleast line, of at
side
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
-of-way may not be performed until staked by County Road Department and work must
be
COUNTY ROADS. Work on street right
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
ting building. When a building is moved on a County or State
MOVING OF BUILDINGS. A permit is "required to move an exis
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.
wRES RICTIVE COVENANTS.tBuilders should checkCprovisions oflcovenantst oringdactionntosenforcem^co�venantsior dedications.
�APPLIC NT FILL IN BELOW THIS LINE ;'q4i�
Name of O,
Architect .
Engineer _
Contractor
Legal Desi
or/ W Address
Address
----------------------
Address
i1a�, j9 Address
ption of Property (Give complete description from deeyi, tax receipt, etc.)
DECi#IPT10% 0Wj
Size of Lot
Stories 1—Dimen
Rooms I&— Baths
Heat. System
Parcel Nu
onO, Remodel Moving
Sewage System
2A'
Foundation Const..
Sq.
Phone
Phone
Phone
Wall Finish
of Units _
-
Fire
PLOT PLAN
Vsketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
T00osed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines. a Li ens No.
NORTH
SOUTH
i
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
30
in Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hg -by gerOfy ioorW�ioyqubmitL�ed lisp correct PAY there are no other structures 1
on 1his property except
/'_V1
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRIT FLOW THIS LINEf
_
Tour street address will be The zone ris,`
Sewage Permit Number Issued Building Permit_ Receipt Is ed
Remarks
91
-5 0 e4l" �v Vlvl�y 4 6