1977, 04-01 Permit App: M0345 ResidenceSpokane, Was ton
C&t of S � 9
Y P
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 Afrom 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.
not be performed until staked ro County Road Department and work must be
COUNTY ROADS. Work on street right-of-way may
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
- � �----�--�—rte _c ---
Name of OwnerW. ytz-mom e Address
Architect Address
Engineer I Address
Contractor (l1 �' J Address
Legal Description of Property.( Give complete d9scnp�ion from dQed,
tax receipt, etc.)
Phone
Phone
Phone
Phon���
__ _ �—
DESCRIPTION OF WORK: New �. Addition Remodel Moving Bldg. Zone Firene
Size of Lot Sewage System �� �F'nst. c., Br., etc.)
Stories imensions Total Sq. Ft.��� Valuatio
Rooms Baths Basement 0 F undation Const. Chimney (Kind) Fireplace N mb
Fu I, part, none
Heat. Systerr� ype of Roofing Ext. Finish Int. Wall Finishak&�
Use of Bldg. �� No. of Units _ Bedrooms
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 RESIDENTIAL COMMERCIAL State License No.
REQU��
Plumbing Permit/
F" Heating Permit
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif nfK/ do sxbmitted is correct and there are no other structures located on this property except
as shown. J�� //,•�
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address
Sewage Permit Number
-Remarks
523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
ZZ,/
1 be � � " � F. - � The zone is
Issued Building Permit Receipt TL9 9� Iued /
f