1977, 07-27 Permit App: M2562 Residence0
0
County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G
GENERAL REQUIREMENTS PERMIT FEE. .....
`...._... .........
PERMIT REQUIRED. A land sae or structure permit ie required by County Resolution to erect a building or structure of Buy
kind or alter any building or structure already erected, or to change a land use. Cons tructlon most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Rater 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 b, obtained from the County gagineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions New. 45133 mtd 47235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances. a setback 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-wqv 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 1s moved on a County or State
Highway, clearance net 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 provislone of covenants or dedications and easements rooming with the land
which are enforceable through civil action. County officials can not bring action to enforce covenants or dedications.
�11�1.TL•1 ].il�L7�1.11�R•7"l i:I4i�ll;L=,
Nemo of Own r
dtlresBe— AA"/�4 If
1 ' f-r/U-c-Phone
Architect
Address
Phone
Engineer
Address
pieces
Contractor
Address
„ -; Phon9
LegelAscriptim of Property (Give complete description from deed, ma receipt, etc.) Parcel Number
DESCRIPTION OF• p/p� Adtlition R.Ulel Moving Bldg. ZqmeV_-X.— Firra Zone
Size of Lot v ? �1-7� Sewege System Conal .:F5.F a ,wA,
(F CWc4 B ., etc.l
Stories "�I''Dimonaiona r Total Sq. Ft % Veluatiod
gaana(y BeNaBPa amen ^Foundatnion Const. �'%1/L-Gr J��� Chimney (Firepl eK ell (
Meet. System yJ�/ay/��/i^��TA of Roofing T Eat. Finish Int. / Wall Finjsh
Use of Bltlg. // YQ No. of Units %drcvms
PLOT PLAN
Dr. sketch with dimensions showing: (1) property linea; (2) street or road locations; (3) location of existing and
proposed building.; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sYe-
tee Bud water suvoly lines.
Scute ee No.
In Acct. No.
RESIDENTIAL - COMMERCIAL
GI hereby
as
REQUIRED
Plumbing Permit
Heating Permit _
Sewage Permit _
Plans Received
Plans Checked
Plans Returned
Plans Picked U;
Plats Mailed —
is correct and there are no other structures located on this property except
/ mer or Agent 1� Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE NE40W THIS LINE
Tour street atlee will be ed G The
Sewage Permit NumamBuilding Issued Building Permit (2 6>• Recel i,t Dt ' LU{(sued
Remelts
Form 523 Bldg. Code