1978, 04-07 Permit App: M5725 Pool County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT C. -
GENERAL REQUIREMENTS PERMIT FEE 075
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 P 9'2( ? ;4574
Name of Owner. Address E 7'20 Phone
Architect Address g . Phone
Address�d_. ` Phone _ Z
Engineer a
Contractor ru.)..e..e.t./-1--Xli. Address /r p 9Y / ',e/ yr, Phone ��S �t
Legal Description of Property (Give complete desc 'ption from deed, tax receipt, etc.) Parcel Number -2d 5-y ` 070 V
L V e 7 .,... /
ROADWAY R/W WIDTH
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Z
FO e
Size of Lot d A'`-S—0 '' Sewage System i 5 rte` Const. /� .
Fr., Conc., Br., etc.b
Stories Dimensions /�/ ` ntal'Sq/Ft. Valuation UO
Rooms� aths Basement Foundation Const. Chimney Fireplace
B u I art none / _- (N urrl
Heat. System f::: Cir Type of Roofing Ext. Finishi / Int. Wall Finish
Use of Bldg. -.4. t'2 7 71-LA--L 7 -ea/
l/, '[A No. of Units Bedrooms
/
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines an treets; (5) dimensions of buildings; (6) location of sewage sys-
em and water supply lines.
NORTH c State License
" Cl/
1 it I Ins. Ac t. No.
/� r c S .r,,,..._7 RESIDENTIAL COMMERCIAL
[ REQUIRED
Plumbing Permit
/S in Heating Permit
in 111
to to Sewage Permit
-4 f -I
p0 Plans Received
`_ Plans Checked
Plans Returned
Plans Picked Up
3 f Plans Mailed
� 1 0 , lye//D/7 r euLez.
sou'
I here y cert nfo, :tion s . ed correct and there are no other structures located pn this property except
as shown. , !"- 7-
-7 (/
1 / a
Owner or :ent Date
A LAND U E OR STRU URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE` BW THIS LINE 7/S
Your street address will be 1•-- / oe 0 0 K J The zone is 41. ��
Sewage Permit Number Issued Building Permit Receipt //5O Issued
Remarks
i
Form 523 Bldg. Code