1978, 02-02 Permit App M4754 Portion of BasementCounty 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 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 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner / I 0 CIt/ IY .' C 4itz / S U .7.1
Architect
Engineer
Contractor
Address
Address
Address
Address
N, 'ad'/ Z se n 440e.7-
Legal Description of Progeny (Tje complete descr' on fr deed, tax receipt. etc.) P cel Number
Phone
Phone
Phone
TfrPnj,643-P 7
DESCRIPTION OF WORK: New 1r Addition
Size of Lot
Stories Dimensions
Rooms Baths �— Basement Foundation Const
Fu I, part, none—
) IS/'t ,-oofing Af
Remodel
4' Moving Bldg. Zone / Fire Zone
1
Heat. System
Use of Bldg.
Type of
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Sewage System /�-Y/sr/d7Const
Tota
I Sq. Fton
Chimney 1
Fr.. Conc., Br., etc.) y
� Valuation
Ind) Fireplace N her
Ext. Finish / 7/4- Int. Wall Finish // N 1 eft
No. of Units LBedrooms •
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-
C- /
SOUTH
I reby c f ify inf
ormatioonn submmittee is correct and there
as shown.
Owner /or Agent
- COMMERCIAL
REQUIRED
Plumbing Permit
en Heating Permit
To
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures locate this property except
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
Sewage Permit Number
Remarks
,° V a Y e t 1 c "" r The zone is 3i
f /1e7
Issued Building Permit,/ L/J1 T Receipt /'35,` (I Issued
Form 523 Bldg. Code