1975, 11-03 Permit App L1981 MHCointy of Spokane. Wash..igton
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 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.
C--\ ; n APPLICANT FILL IN BELOW THIS LINES 1
Phone•
Phone
Name of Owner A.t_ r.11/) 0 Address
Architect Address
Engineer • 4, Address
Contractor- / t/ PI j i J 'dc ress 6 0¶
Legal Description o
n ,
(Give complete desiption from deed, tax receipt, etc )
7i f•' �,i l Cr '/its ' !�
of#4-10--
DESCRIPTION OF W RK: New > Additi n Remodel Moving
Size of Lot %0 .l-`l_ _ , /4' 2 'x %'-` ':''O' x inn`
Stories / Dimensions
Rooms Baths
(Full art, none
Heat. System ype f fing Ext. Fjnish
Use of Bldg. —f7/ ; . 9 ��
Phone
Phone
5`qq - _SAS
Bid* Zone ,r Fire Zone
Sewage System / r7++onst..�� =' T I/o!
o��X(/ Valuhr.bore,uonoi. Bi t —
o/� Total Sq Ft Valuatio
�C i
o`- Basement Foundation Const " ' ney (Kind Fireplace
jJ (Nu ber
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m7
as s
NORTH
SOUTH
�/1 v �c�►x
l
Int.
Wall aI I Finish
No. of Units _ Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I h e y cert' info subm' ed is
ner or Agent
fa — COMMERCIAL
correct and there are no other
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
/7
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(ai,t, k � __i DO NOT WRITE BELOW THIS LINE
a
Your street address will be
Sewage Permit Nur Issued Building
Remarks
.37
Date
CONSTRUCTION COMMENCES.
The zone is
Receipt
,57/6-477e(
ssued
Form 523 Bldg. Code