1977, 11-02 Permit App M4015 Residence, Garageounty f
ne, T
ington
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 byCounty 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 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 Statile
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 And
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicationsi
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address % e Phone 92 'S
Architect C Address Phone
Engineer Address dc' 32 S-I Phone
Contractor „.—y,.-4-- Address Phone
Legal Description of Property (Give complete descry on from deed, tax receipt tc 1
i , /i a2 r . receipt 4,
-t (IL ' �! </ 3 - 61:.2 7
�G+-�-crime sil.
DESCRIPTION OF WORK: New )( Addition ZiSize of Lot ,2,3'�
g/I s U
Storie pl. Dimensionsi Lic* X 34,
Rooms _V Baths. 0.2 Basement Foundat
Ext Finish
(Full, part, none
Heat. System e,,Type of Roofin
Use of Bldg.
Remodel Moving Bldg Zon Fire Zone-3-
Sewage Syste 7rt4'j Cons[.
,;z�/k' Fr., Conc., Br., etc.) pq
Total Sq Ft aluation Ci4, 007'—
ion.Const -r�F Chimne Fireplace
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.
(Kind) (Number
Int Wall Finish ern`C.(
No. of Units L Bedrooms 9
NORTH %'T€ESIDE IIAL.- COMMERCIAL
I hereby c
as shown.
SOUTH
ion submi. ted is correct
Owner or Agent
A LANs SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
9-4-;' /77,4/AO
and there are no
to
State
L' ease No.
C}
Ind. Ins. Acct. No.
Plumbing Permit Heating Permit /iag-
Sewage Permit 0,arOlEe
REQUIRED
TT,/�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
(-DO NOT WRIT;Je BELOW _THIS LINE
Dat e
CONSTRUCTION COMMENCES.
_-- - --- / The zone is
/1 Receipt7,/
Issued
Form 523 Bldg. Code