1976, 02-17 Permit App L2639 MH RenewalCounty of Spokane, ashington
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.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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 ecovenants or dedications.
APPLICANT E'LL IN BELOW THIS LINE /y t��qnc.-7, 990/6
ei
Name of Owner_ /� sr s.4 ' /.���-_'/ Address Phone 9a6
Architect Address Phone
Engineer Address Phone
- Contractor ,,,,I./74-71 Address Phone
Legal e'-scription of Prop rty (Give co. •letey-criptioo from d--d, tax receipt etc
i
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot £Gl)! J
Moving BI g. Zone Fire Zone,-9
Sewage Syst ^_ Const ./ A . 0
��JJ �. (Fr., Con
Agirr
Stories 2_Dimensions /,l X 6n iJ �% Total Sq Ft �5�. Valuat
t e.
Rooms CL Baths / Basement Foundation Cons -.A 4,- Chimney Fire��ppp���aaace
T I, part, none) (Kind) (Number
Heat. System -- Type of Rggf% _�'t Finish�� G� Int Wall Finishart,- J
Use of Bldg.%w� C v- Q (i�j C� �'�YyCD671 No of Units Bedrooms
Remodel
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 st - t-f- (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. �1
jr
NORTH
SOUTH
rmation submi
RESIDENTIA — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
ws Heating Permit
in Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located on this property except
/7.76
Omer or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ( e/,7 ,2 O, l 2-
Sewage Permit Number Issued
Remarks
�i/ The zone is
Bui ing Permit 4 63F Receipt
sued
C eo (i' / Cioi-s- 7,,
Form 523 Bldg. Code