1976, 03-26 Permit App: L3120 ResidenceCc. _.ity 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 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 de icat ions.
APPLICANT FILL IN BELOW THIS LINE ry' n
Name of Owns .ice �.��� , .26 CJ-5 -2 "7"-1 �.
Address Czf Phone �1
Architect C Address
Phone
Engineer Address Phone
Contractor
-,--� Address Phone
Legal es ription of Property (Give co lete description from deed, taxxyrecfi tt, etc) / 5--4/.2
DESCRIPTION OF WORK. New " Addition Remodel Moving
Bld. Zon ---/ Fire Zo
Size of Lot `2 • n 3.} / S rSewage System w- ° - Const.-
��. sFr., Br., etc.)
Stories Dimensions �' /- ‘ ` Total Sq. Ft /" _- �/aluati ���''c'
Rooms Baths - Basement Foundation Const -e ---' Chimney Fire2ce(Number
(Full, part, no (Kind)
Ffeat. ys e"
Ty e of Roofing
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Ext. Finish
PLOT PLAN
Int. Wall Finish /�
No. of Units Bedr••1<
property lines; (2) street or road locations; J2 -} 16c ion of -eaistinc and
lines and streets; (5) dimensions of buildings; (6) location of sewage
RESIDENTIAL — COMMERCIA
SOUTH
I hereby leg tify infor ion submitted
as shown. cc//
Owner or Agent
-
Plumbing Permit
rim Heating Permit
14 N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
1111, AM,
Plans Mailed
correct and there are no other structures located on 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 /-7--/ C The zone is-
Sewage Permit Number Issued Building Perini �`71 Receipt
Remarks
Form 523 Bldg. Code