1978, 06-20 Permit App: M6808 Residencer
c:
CJ
County
of
Spokane,
Washington
BUILDING CODES DEPARTMENT,
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ` �+ ,cel
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. 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
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.
A PLICANT FILL IN BELOW THIS LINE
�._ �J
Name of Owner Address - Phone
Architect Address Phone
Engineer A Address Phone
Contractor ��rn' Address Phonit of
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg�--
Size
Fire_ �
of Lot r ! Sewage Systemonst. ���f�l
�G/ . L _ / �L �, ,� / FFr., Conc., r tc
Stories Dimensions �® 1 1 otal Sq. Ft. Valuation
or
' yl�s?521
Rooms Baths F Bpart nt a Found tion Const. Chimne Firepl ce
(Kind)/(Numb r
Heat. System ype o Roof' g Ext. Fi i Int. Wall Finish
OD,aw
Id777�&l No. of Units_.BedroomsPLOT PLAN
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.
N
.4
as
NORTH
e License No.
Ind. Ins. Acct. No.
RESIDENTIAL — COMMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
a
Yl Sewage Permit
Plans Received _
Plans Checked _
Plans Returned
Plans Picked Up
Plans Mailed —
SOUTH
I he ebx certify infor tion submitted is correct and there are no other structures located on his property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be Z-2 Z/ �/_ �'� / ( lW' • The zone
Sewage Permit Number Issued Building Permit 74A109 Receipt'
Remarks
Form 523 Bldg. Code
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