1976, 09-14 Permit App: M2005 Relocate Residencet+
1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992013a
APPLICATION FOR LAND USE OR STRUCTURE PERM!
GENERAL REQUIREMENTS PERMIT FE
PERMIT REQUIRED. A land use or structure permit is required byCounty Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction moat
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 Nm. 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 OP 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.
APPLIC - T FIL IN BELOW THIS LINE ,$3S -903.5-
structure of any
conform with the
1
Name of Owner /� _ _ - / Address
Architect 1 Address
Phone ----4-7----1T14-61947,—
Phone
Engineer Address Phone
Contractor
oonttractor Address Phone
tipti of
Property (Give complete d r of from die ex tee, etc I
t c
--e-rt---4 I I 1 �/
DESCRIPTIO OFWORK: New Addition Remodel Moving Bldg. Zone / Fire Zona 3
Size of Lot j 0 13 Sewage System Co.. C.n$�0
11 �11 Fr.. Con r., etc.) O
Stories / Dimensions [2. 3'$ 't Total Sq Ftt CO Valuati -
Roans Baths.,Basement. �n Foundation Const 6.22 -9. -re ---Chimney Chinney 0 Fireplace
(Ful. part. no n01 ' /y �,, _ o / (Kind)
Heat. Systeppppppllllll Type of Roofing t�-Chn i� Ext Finish �'^ int Wall Finish !/✓ y-'y�� ,
1 No of Units_ Bedroomsj
000000J J
Draw sketch with djmens'ns showing: (l) property lines; (2) street or re ocat ions; (3) lghation of existing and
proposed buildings; (4) distance to property lines and streets: -.L5
tem and water supply lines.
Use of Bldg.
1 itd PLOT PLAN
NORTH RESIDENT
f buildings; (6) location of sewage 578
(SOUTH 50
on submitted is correct and there are no other structures located on this property except
State License Ne.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permi
t
w Heating Permit
NSewage Permit
Plans Receiv
Plans Checked
Plans Returned
Plans Picked Up
Mans Mailed
Ower or Agent 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 w111 be '3[. 7 t' The zone 1e -�
Sewage Permit Number Issued Building Permit 4 J T Receipt 30GD i sued �. T. i pp4_