1978, 05-26 Permit App: M6524 Remodel County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.3J
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 mast 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.
APP ICANT FILL IN BELOW THIS LINE410 ���T 9c2 /,
Name of Owner-4P i . _ fess C d2 e —61 Phone -C).62/7
Architect ` Address Phone
Engineer Address Phone
Contractor Address Phone
Legal .-scription of Property (Give complet: ",%ion from deed, tax recei. etc.) Parcel Num•er
r
IOW
- - -7 -
DESCRIPTION OF WORK: New Addition Remodel Moving . Zone / Fire Zone
Size of Lot ci /5/,2 `p6 Sewage Syste a �� }- const.onc.,Br., etc.
Stories D ' Yimensions /7- Total Sq. Ft. J/ Valuation V
Rooms BathsBasement Foundation Const. Chimney Fireplace
Ful, part, none) (Kind) Number
Heat. System Typed of Roofi Ext. Finish Int. Wall Finish
Use of Bldg. LY�7..&, 'L No. of Units edrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
RESIDENTIAL-COMMERCIAL
•
•
6144-1-
, ,, - C / REQUIRED
Plumbing Permit
/ �� / �• in Heating Permit
co Sewage Permit
Plans Received
• Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Slab/?V.
SOU
I hereby c tify formation sub.f ted i ept and th e are no other structures located on thi property except
as shown. / , 76
Order or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON T PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITEBELOWTHIS LINE
Your street address will be /c34fQ� it )/,iEB
fs �--"S _ The zone is .C_J
Sewage Permit Number Issued Building Perm6 5‘7SeReceipt slued
Remarks
Form 523 Bldg. Code