1978, 06-19 Permit App: M6797 Residence, Garage• 11.
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 an7
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.
_9/ APPLICANT FILL IN BELOW THIS LINE
Name of OwnerCG�sT� -
Architect
'
Address
Address it r:
Phone
_5- /51k6,
Phone
Engineer Address Phone
Contractor ��=-� Address Phone �—
I Description of Property ( e complete descr" ti'n from deed, tax r-cert, etc.) Parcel Number 6m�z 1 0-9 C'/ d//K
•t_t--:--,4 .12111. •
DESCRIPTIO OF WORK: New Addition Remodel
Moving Bldg. Zone / Fire Z
Size of Lot �` h L
Stories
Rooms
Heat. System
Use of Bldg.
a�
Dimensi s c:` 'jY" c -
BathBasement
Fu I, part, no
Sewage System= Const.r.
(F, C
Type of Roofing
Total
Foundation Const
Ext. Finish /7/
Sq. Ft / 0 q6:2 Valuation
Chimney 0.—• Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _Bedrd ms
ne --�
;4Br.` etc.)..„,
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN x� "
property lines; (2) street or rlocations; (3) location o
lines and streets; (5) dimensions of buildings; (6) locati
isting and
of s. wage SYS -
65- 97)
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SOU TH
I here certify inform/tiqp rt mittQd is correct and there are no other structures located on this property except
as shown. JO)� }�(2J �'/I
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
.tit - 9� DO NOT WRITE BELOW THIS LINE
bel��.l�i f'�yL P�-6i� . „,.:06 O7
:
•
RESIDENTIAL — COMMERCIAL
REQUIRED
4
4umbing Permit V
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7�
Your street address will
uildinPermit
Sewage Per it Numbe Issued /1
Remarks
Date
CONSTRUCTION COMMENCES.
/117
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