1978, 02-10 Permit App: M4896 Residence0
APPROVED As NOTED
Spokane County Bid .$. Dept.
County of Spokane, Wash
in 02119 r I& -71
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, ASHIN§TO
h "
APPLICATION FOR LAND USE OR STRUC
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
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 �t
Name of Owner �� Address hone
Architect Address Phone
Engineer Address Phone
Contractor J �l/w Address_ tetc
ho e
Legal Description of Property (Give complete description from deed, tax recei , etc.) Parcel Number l '
DESCRIPTION OF WORK:
New`/� Addition Remodel Moving Bldg. Zone l Fire e
Size of Lot �l�[�1��� _ Sewage System onst.
-?/-/-Baths
7 , / t �Fr., Cor)c. Br., etc.)
Stories Dimensi s �,n -� �a T al Sq. Ft -35 V�luation r d
Rooms /////� Baths Base ant Foundation oust.. Chimney Fireplace
//�/s u part, / (Kind) (Number
Heat. Systg/r Type of Roofing -L f xt. Fi i ���/Int. Wall Finish C�
Use Bldg. No. of Units Bedrooms
��� 6e J 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
4A
.4
State License No.
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
M Heating Permit
1110
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informations itted is correct and there are no other structures located on this propert except
own. 7 9
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON
THIS IS NOT A PERMIT.
Date
HE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be -//,3 D. �! / ,
Sewage Permit Number Issued Building Permit
4u.o.be
The zone
Receipt_
Form 523 Bldg. Code