1978, 11-02 Permit App: N1325 ResidenceCounty
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.
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 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 IWMVKF•:-' W6_ Address F,r-Z3Z-1*'_d I, -R �MD/e Phone
Architect 1) Address N Phone
Engineer a Address Phone
Contractor i 1 ULn Address L �—�, c:V17-6Phone
Legal Description of Property_(Givq complete descriptionjromged, tax receipt, etc.) Parcel Number
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot 0-12
p
StoriesDimensions'
Rooms Baths Basement Foundation Const..
Fu I, art, none
Heat. System ype of Rogfing Ext. Fini
Use of Bldg. i � `� 1� 6, .
A
Moving Bldg. Zone Fire Zon�
�, Sewage System �--- �onst.
t �� Fr., C ., a c.
Total Sq. Ft11dGi���—��//�� ��Value
t9 `
Chimne106`f— Fireplac 1
(Kind) {� (lumber
Wall Finish
No. of Un its1Bedrooms
/�� W/017V d1;� � I PLOT PLAN
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
r
ilii+l
r r/, �I lArd",
SOUTH
I hereby certify information submitted is corrt and
as shown. / I A,A � - —,�. y, . , . I // .1
State License No.
}m,-1NL-UI>i 2
I Ind. Ins. Acct. No. I
RESIDENT14 - COMMERCIAL
ER QUIRED
Plumbing Permit
rn Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Ml�
r/pp
Jof r structures oca ed on this property excepturztz:6
Owner or Agent I "' `+f . Date 1
A LAND USE OR STRUCTURE PERMIT MUST BE ON T E PRE'MIS'ES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
LS n ,
Your street address will be s �� `�� jf,�, ' The zone is
Sewage Permit Number Issued Building Permit Receipt ,�X�i i`% Issued
Remarks
Form 523 Bldg. Code