1977, 05-02 Permit App: M1853 Mfg HomeCounty o Spokane, Waa1o
111JILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 BUILDING. 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.
fAPPLICANT FILA. IN BELOWTHIS LINE
Name of Ownerr' 1 146-':` Address
�rs r Phone
Architect Address — _ Phone
Engineer Address - " � ��jss n 4��r!!,3 2 Phone
Contractor y L- Address Phone
Lega{ escription of Property (Give complete description fro p deed, tax receipt, etc.) Parcel Number .4
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire 7one
Size of Lot Sewage System c Const.= --/'7
` r (Fr., onc., r., etc) c (J
Stories Dimensions ' Total Sq. Ft., Valuatio f )':s
Rooms Battle Basement --- Foundation Const.. `f Chimney "tea Fireplace w \
Fu 1, part, nonce- (Kind► (Number
Heat. S stern _ - 1~--�` Type of R
y � yp g � '� Ext. Finish `" � `� tat. IVaII Finish
Use of Bldg. No. of Units _Bedrooms
s;
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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.,
f 74— NORTH State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
- - + ares Heating Permit
f
,s W Sewage Permit
S Plans Received
Lr Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
k
I hereby certify information submitted is correct and there are no other structures locate�n his property except
shown. C .., _ _
_ _ 7 1,14
w'' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES -
PERMIT.
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
DO �'}) T ITE BELOWTHIS LINE
Gra.
Issued
Building_Permit
The zone is
Receipt