1977, 07-26 Permit App: M2545 Residence•
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 elth 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 OP BUILDINGS. A permit is required to move an existing building. When a Indicting is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Higbtay 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.
P CANT FILL IN BELOW THIS LINE
Name of Owner
Architect
��y /
Add ss !o'inira Phone
Address Phone
Engineer Address Phone
Contractor Address I, �°�
Legal DescriptionA1 Property (Give complete description from deed, tax receipt. etc.) Parcel Number i/� e, `r' '/�
h
W
rY-
V l
rvt
DESCRIPTION OF WO : New Addition
Size
Size of Lot 7 SX 2 C)
Stories Dimensions
Remodel MovingBI: ._
Sewega System C.
Total Sq Ft.
Rooms LL Botha 1 -----Basemen Four tion Ofl t. -.. � S= — Chi y
pj
(Pu art, no e
Heat. System Ty of Roofing Ext Finish /t1 -f /
�/ /7ib
Use of Bldg. "-Ya_. 12 ir.e --
Fire Zone _ '`
CConse -+ orue .t.
IF., Cnc., Br., e c.l o/
act/�'� ���aluation
mne J?6� Firepb
(Kind)
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing an
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
Int Wall Finish
Np of Units 413edrooms
E
Y
NORTH
atyyt
G,SSSlrtate License No.
Ind. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOTA PERMIT.
GO NOT WRIT BELOW THIS LINE - r
Your street address will bePaliff Tye zone is
Sewage Permit Humber Issued Building Permit RecalDt mimed
Remarks
-7/a./77
Form 523 Bldg. Cede
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