1978, 05-08 Permit App: M6200 Complete Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /16)3 '
6)3 °%
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.
AP•LICANT FILL IN BELOW THIS LINE AA7 ,2D6.
Name of Owner J, �-� = Ad-....:0„.(4L.: Address
S°. / / CRS, Phone P? Y— 7 9/ °
Architect Address Phone
Engineer Address Phone
Contractor C 1 L- - Address ce...-1-`"4-'-- Phone
Legal Description�f Property (Give Co e descrietion from dee , receipt, e ) P rcel Nkmb9►r �U�y 2 - /'2 •2_
�X 11 Y /- '61/�i—
0
DESCRIPTION OF WORK: New Addition 0 Remodel Moving Bldg. Zones ( Fire Z e
Size of Lot / Q as ' X / c/ 0 Sewage System S e�/ec—Const J
�j /,�, j / 9 Fr., Co Br. etc.) o
Stories /_Dimensions / �` f �� I y X Total Sq. Ft.! /( Valuation 023
Rooms y Baths Basement f:-/f Foundation Const. � Chimney 5°j" Fireplace
(Full part, none) q,+ (Kind) (Numb
Heat. System QC
T e of Roofing - t. i i h Ca Lad Int. Wall Finish 9/9 et/ /
Use of Bldg. C,..� . ?i4 /...,1-1-1/ l7 v7 No. of Units_Bedrooms
PLOT PL• N
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of exist it and
proposed buildings; (4) distance to property lines sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. ,
NORTH /yd
State License No.
-t Ino. Ins. Acct. No.
(
RE
I SIDENTIAL COMMERCIAL
REQUIRED
O� f `. I i
t \ 7 �( \ , 2 �r `�' Plumbing Permit
FJ T `c m Heating Permit
coi R.� Sewage Permit
Ilkii: '
Plans Received
J Plans Checked
, f) Plans Returned
)^1 Plans Picked Up
`n Plans Mailed
576/2 ‘ 4°7
SOUTH
I hereby c tify information s bmitt•d is ;rrect and there are no other structures located pii/�his property except
as shown. _ N
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO J NOT� WRITE BELOW THIS LINE (�o
Your street address will be 7// • w��' d The zone is A 7- J i -
Sewage Permit Number Issued Building Permit • OP' Receipt/76' d Issued
Remarks
Form 523 Bldg. Code