1978, 03-02 Permit App: M5166 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT OP
GENERAL REQUIREMENTS PERMIT FEE.__G_.___`_..
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.
NATER. 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 dedicatit+rts.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner &) G V j- r- ^J �%�LiGj/ 0 Address 490)(hjf bA _5�r>%, N 5 Phone
Architect Address Phone
Engineer_ Address Phone
Contractor Ali: C) 4-f- C -ON S -r P, LlC rr CAddress Phone
Lanai Descrintion of Pronertv IC;ive comolete description from deed, tax receipt. etc.) Parrnl Number
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot /y3 X St(o 1_ Sewage System (Fres . FBr. ,etc.)
Stories Dimensions b'eX �T Total Sq• Ft. -�—Valuation ��d og'
Rooms --6- Baths'Z - Basement Foundation Const. Q —,r 1C*AaJ -- Chimney 1"1_rAL Fireplace
Fu 1, part, none (Kind) ,() (Number
Heat. System L i: -A Type of Roofing G'Jvy Ext. Finish 'TI// Int. Wall Finish
Use of Bldg. 'tfk5 t DAN T1 AL- WiTA Ci/9Pji`G�_ No. of Units �. Bedroom's
N67-41#46 Fir41SO4t-6
PLOT PLAN ;r4 j/,462M.J n 7
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 sad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
!yJ £. AITAC14 7
iA
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit U 'i3J ro r4
M Heating Permit A,&at,,�L-wk
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed —
SOUTH
I hereby cert informs, 'on submi,ted is c ect and there are no other structures located on this roperty except
as shown. -7 -7
Owner o Agent Date
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be The zone 1
sewage Permit Number Issued _ _ Building Permit Receipt Is, ed
Remarks t
r
Form 523 Bldg. Code