1978, 04-25 Permit App M5971 ShedCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE �o
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address 1Ti / d /a Phone 92 — / 5
Architect Address Phone
Address Phone
Address L1 e—r
Engineer
Contractor
Legal Description of Property Give complete description fro de , tax receipt, etc.) Parcel Number
Phone �'---
/53 y Z— 0 IC
ROMAAT-R/Yv 4( i)IM /
DESCRIPTION OF WORK: New Addition
Size of Lotr. `Y d Sewage System Const.
/j Fr., Conc., etc.) C/i
Stories Dimensions 0 X/ 0 Total / a O
// ,� / /; q. Ft aluation
Rooms __L Baths/ Basement � � C" Foundation Const Sf 'I /� S t(�10dd Chimney �� Fireplace
/ Fu 1, part, none
/v a�Type of Roofing , ��� r • Ext.,Finish
its/4-
Heat. System
Use of Bldg.
Remodel
Moving Bldg. Zone / Fire Zone 3
(K'n )
Int. Wall Finish
No. of Units._Bedroo s
PLOT PLAN
aw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water
supply lines.
/tIt 55(0'
3C t S r/if
ift,S, de/flee
NORTH
SOUTH
I hereb ce ify ' forjiation submitted is correct
as shown.
and there are no
— COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Orp r /eu•Lte....
other structures located on tJiis property except
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�9,/
Your street address will be Z % � �-�c�—" /}
— / Q 0 ! V 1 lb e zone is
49, s'w
!i.
Sewage Permit Number Issued Building Permit 1I,Y Receipt /CS// Issued
Remarks
1
Form 523 Bldg. Code