1978, 03-02 Permit App: M5165 ResidenceC7
•
County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS 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.
NATER. Nater 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
a 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 BELOW THIS LINE
Name of Owner _ L'�'/��/��/l�^l Address 6� Phone 92-
Architect
LArchitect Address Phone
Engineer Address Phone
Contractora/1l Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
;');,�
DESCRIPTION OF WQRK: New Addition Remodel Moving Bldg. Zone �L— Fire Zone ` �-
Size of Lot�0'S Sewage System ; tpaL ns
.Br.,etc.)
Stories Dimensions `F' czT�oL 5(a ,�A, f2 Total Sq. Ft. (Valuation C>cz�
Rooms _ BathsBasement Jl�kn Foundation Const. C4 NCAaJ70 Chimney Fireplace If �-
_ Fu I, part, none) _ (Kind) (Numb
"
Heat. System .�_� Type of Roofing Ext. Finish 1 1l Int. Wall Finish
Use of Bldg. USIS. 06 .4'"i ilk L&2 ice j( ikt � AAi2jV-sf_ No. of Units_. Bedrooms
PLOT PLAN /�CTlti,.►� r'% �`� �sHt-tom ►►� 3�1�s nni+�
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.
NORTH
SOUTH
State License No.
ooL,� 2,
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit 02&g-/ 56/ Oq
m Heating Permit
N
Sewage Permit 1/ a "
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert�y infor tion submitted i correct and there are no other structures located on this property except
as shown. /i',� / 1
G Owner or Agent Date
A LAND USE OR STRUCTURE PERM4T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
R -&arks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
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