1976, 07-22 Permit App: L4786 ResidenceCounty 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
kind or alter any building or structure already erected, or to change a land use. Construction must
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 Cy y z e
r.' -nf'1
structure of any
conform with the
Name of Owner
Architect
Engineer
Contractor �� 2 -S /2 s S r`'
Address .:� • 3 2 E
Address
Address
Address •■52/21
Legal Description of Property (Give complete description from deed, tax receipt, etc
7— — 4 e c/C 3 4 ,eNd.v a ti'z)
Phone
Phone
Phone
Phone
rA_e328 -0
S
DESCRIPTION OF WORK: New K. Addition Remodel
Size of Lot 9'`7. ee 6 7C /J . 29
Moving Bldg. Zone / Fire Zone
Sewage System �f'T/e- Const. //I0"1/12,t
(Fr., Conc.,�Brr.. etc.)
>G Sc-' - �AE'AcC o?-2 X,72 Total Sq Ft /7eV Valuation %���Z'
Cil/t //c' — Chimney s�'`' Fireplace v'
(Kind) (Number
Ext. Finish /-"/6i/l> L— Int. Wall Finish .Z,' /t i C-
/�Udl [ 1:-,1,11/ Ltd ,%CS /U.C/Lc r L/04 L/L 4-f7 ‘4`.+C4[No. of Units _ Bedrooms 3
Stories d_Dimensions
Rooms 1c___ Baths �� Basement �� « Fou �a on Const
( F u l l , part, none) h ' '/'.L'.vl�
Heat. System .i¢ ' Lie Type of Roofing S., - C/ -
Use of Bldg.
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.
NORTH
trz4
I hereby certi
as shown.
State License No.
Ind. Ins. Acbt. No.
REQUIRED
Plumbing Permit Sri 1.'1
Heating Permit 6'' ,vr
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
rmation .witted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISJN.07 A PERMIT.
c9 14tetit DO NOT WRITE BELOW THIS LINE
Tar street address will be / / / .- /
Sewage Permit Number Issued
Remarks
E R1<c7N4
Building Permit
The zone is
Receipt
ssued
Form 523 Bldg. Code
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