1977, 07-29 Permit App: M2589 FireplaceCounty of Spokane, Washington
BUILDING COMES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL
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 97.235.
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, 151 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 amd 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.
APPLICANT FILL IN BELOWTHIS LINE
Name of Owner " f � � ` � c ' � e � �° -Address " &;,3 �. � s
Architect Phone,' .
Address Phone
Engineer Address Phone
'dntractor w �` Address Phone
Legal Description of Props r(Give complete descripti from deed, tax receipt, etc.) Parcel Number
' £ r y
,.> . - .
" gu
RiPlION OF WORK: New Addition Rrl�emodel Movins� Bldg. Zone Fire Zone
of Leat " Sewage System oast.
Fr., Conc., Br Y)
)s -Dimensions Total Sq. Ft. Valuation
a' Baths asement Foundation 1Bpart. n Tp Chimney�
Firer,p
lace(l_) '
(Number Ty of Roofing�
Int. Wall FBnash s� o.
of Units edr
s
PLOT PLAN
dimensions showing: (1) property lines; (2) street or road locations: (3) location of existing and
(4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
lines.
NORTH /-,:,;State License No.
nd. I
ns, Acct. 130.
RESIDENTIAL OMME � !AL
EE
0
Plumbing Permit
Heating Permit _
Sewage Permit _
. Plans Received
�v P
,F Plans Checked
Pians Returned
i
PIans Picked Up
Plans Mailed
svi
T
I hereby pertify idfor t1og,sub l:.t is correct and there are no other strut as located - n this property except
Owner or AgentDate
LAND DISE OR STRUCTURE PERMIT OUST If ON THE PREMISES BE �RE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT.
NOT WRITE BELOW LINE
ltaasr sheet r+ess will bei a The zone is .
.�
Sewage iermit fltutber Issued_ Building ltrmit :1 Receipt Issued
Remarks _
orm $20 Al4,9. Code