1976, 06-16 Permit App: L4382 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITbiL
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.
OVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ighway, 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 L ' 4 O (�
44rne of Owner /j1/ Address .c-1, ‘ M//./ES Phone 9-2I
Architect Address Phone
Engineer Address Phone
Contractor c-774-/// Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
tin? /ma c K /49 2y/) fOD / ?7 tc. L ilk
DESCRIPTION OF WORK: New 7� Addit Remodel
SizeofLot /C C '7 /26?Ge..l
/a
Moving Bldg. Zone Fire Zone
I7��onst. ���'�-
(Fr., Conc., Br., etc.)
C<
. Ft �' 6 Valuation �(j ��`
Chimney fireplace 7-
(� (Number
Int. Wall Finis" h -D/W1t 'i < '
No. of Units _ Bedoms�
Sewage System JCL",' /-7
Stories _L_Dimensions "7 z` X. 241 Total Sq.
`' Baths 2 -- Basement <<--- Foundatiop Const (-44'("lrrL TiT-
(Ful 1, part, none (' /I, ,,,,c ( t
F- (L/LL Type of Roofing �/fT3R'L- Ext. Finish /C/1 /y/YJ,L
Heat. System
Use of Bldg. .61/ ).t.IlC /t /4- j Zt= ,L LGt P %'_ d.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewa:e
tem and water supply lines.
NORTH
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Ind. Ins./Acct. No.
4
REQUIRED
Plumbing Permit .C776/1 4( '/1,71
Heating Permit it)iyA.! S /Pi--
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify 'nformatioq, submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
j /l/ 7 /-
lDate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-/-4( 711
lZ' o, 1/101
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit 2-Receipt Issued
Remarks
The zone is J ' . 4.)
form 523 Bldg. Code
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