1978, 02-08 Permit App: M4829 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR -STRUCTURE PERMIT ✓
GENERAL REQUIREMENTS PERMIT FEEIf
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 onwater 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 47235.
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 1s 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.
Adr '/ APPLICANT FILL IN BELOW THIS INE
Name of Owne/t: „„ 1 SdPA-,- Address 9RrlQ riD.. Phone 9-,4;'00.7.2.
Architect Address Phone
Engineer Address Phone
Contractor __A -0,M ' ) Address Phone
Legal scriptien of Property (Give comp) to esalpti from sed, tax eipt,� etc%. Parcel,Number alts -Vi -0V0-3
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot „Poo( /0.t -t -?d 0,A -re
Moving dg. Zone / Fire Z e
Sewage Syste •�Ffn C Bn.�
Stories /r� Dimensions r.9( /X�,f�T aa, 77•�Total Sq Ft
Rooms . C Baths IlBasari snot bl' /1711 J Foundation Const. lfZO2 -11 - Chimney '
ei
Heat. Syste
Use of Bldg.
of Roofing —re / . Ext. Finish 7- ///
PLOT PLAN
Valuatto
Fie
Int Wall Finish
No of Units _,.Bedr
(Number
s
Draw sketch with dimensions showing: (1) property lipes; (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.
I her
as show
Sfy
Poi SOUTH S
ormation submitted
State License No.
• 1—i4{• 7
Ind. Ins. Acct. No.
COMMERCIAL
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
A LAND
THIS IS
-FT-7a
Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Perm
Remarks
06
umb
The zone
r.
Avissuet Bu, ilding Permit L �-c-<G
Receipt
I,&T ed
iYri
Form 523 Bldg. Code