1976, 03-12 Permit App: L2951 ResidenceCo aty of Spokane, Wask.agton
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT; / °o
GENERAL REQUIREMENTS PERMIT FEE --1
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 thestructure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTV-„ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must 136
prrfo[med 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
' r
Name of OwnerLa.., - -. 7 • �..t Address U . / 67 Phone g j �t '� LLC
Architect 7 Address _, < - � Phone
C
Engineer Address Phone r
Contractor Address Phone
Le
Description of Pr.werty (Give complete description from
Ai _C. -
ax receipt etc
DESCRIPTION OF WORK: New Addition
Size of Lot / /Ink I 0 .
Remodel Moving Bldg. Zone _2— Fire�Zone 3
Sewage System S ConstC
Total Sq Ft 11 �� Valuation=�
Rooms Baths Basements _tv Foundation Const 0.✓�Jr--t om Chimney Fireplace
/�ull, part, noneR /� / / ^ 0 (Kind) n (Number
Heat. Sys . Type of Roofing -�iP>+ Ext. Finish t l 4 Int Wall Finish Ct' .J -a -i --Q
Use of Bldg. �./j..-e—c t.r,t 41Al Ce 21--- of Units _Bedrooms
/ PLOT PLAN `71jr -L tel _ "d --a. arna-c
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.
Stories. Dimensions g 10
NORTH
RESIDENTIAL — COMMERCIAL
I hereby certify
shown. Air
'SOUTH
R r11LED
Plumbing Pe --mss--
m Heating Permit
ut Sewage Permit
N
'Plans Received
. Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tion submitted 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 IS HOT A PERMIT / �(
7 r i ji�aa d "DO NO r WRITE BELOW THIS LINE �}(
-,Tour street address will be If' -- — �- i- The zone Ss (Issued SJR
Sewage Permit Number Issued Building Permit Receipt V C) !/Issued a
Remarks I
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Form 523 Bldg. Code
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Chapco Certaild..Constrtion
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