1978, 03-30 Permit App: M5515 Pool0
Canty of Spokane, Wasigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1
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.
/�� APPLICANTI FILL IN BELOW THIS LINE v/
Name of Owner `U1 JiI 4.\ l `. 4i Yt N Address / "�l /1 �� Phone n/L' 1(
Architect Address Phone
Contractor
Engineer Address 71436 1*r/ Phone
Address .1-47 .f�/�y �I�)J`� �/>�r(7A/i-)�.x " ,, 'f hone 9'' , 'J
LegalDescription on -of�e Give
co'lple t froJ taxr�eJpt, etp
Z'/L? h
//
DESCRIPTION OF WORK: New ` Addition
K'? "d
Size of Lot
Remodel
Moving
onc., Br., fete)
Bld. Zone / Fire Zone
Sewage System
Stories Dimensions Total Sq. Ft /! ��yValuation
Rooms Baths Basement Foundation Const J"- `�.7A,J _�% Chimney -�JII.C,CL Fireplace
(Full, part, none) ( ind) (Nui uc
Heat. System 1D//9K Type of Roofing _ ext. Fin h ��%=s. Int. Wall Finish r' '
Use of Bldg. 5LL.1 i PJ-'-1fL /'L G t /-14.4A.�-R
/ t 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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
No. of Units _ Bedrooms
NORTH
RESIDENTIAL—Sr'OMMERCIAL
•
\I
I
-
SOUTH
State License No.
,D -LJ -.coo - jB P/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
In Heating Permit
Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3/5//7 a•kgraLM
I hereby certify i rmation submi 2rTjis corand the are no other structures located on this property except
as shown. . d - 7
t 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 1.3d/(
The zone is
Sewage Permit Number Issued Building Permit Receipt
Remarks
lS
Issued
Form 523 Bldg. Code