1975, 10-02 Permit App: L1688 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 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
111/4
Name of Owner ' ' . mss
Architect Address C3.1 17_11.n Q.e l-2-.0 GJ/3 . Phone
/
Engineer_ Address Phone
Contractor Parr T e r E n r -e -r r r i . P Cr Address Phone
0- 4492— 0/09
- I':..
Phone
q2 9-/96 Z
Legal Description of Property (Give complete description from detax receipt etc 1
) o 4, ��k, / t-�, t /
lk>
DESCRIPTION OF WORK: ew Addition
Size of Lot 90 3
Stories / Dimensions
Rooms Baths Z Basement Foundation Const L'oi✓o-
Ful 1, part, nonce— I -
Heat. System fA. aril- Type of Roofing �t Q Y c 4 Ext Finish
Use of Bldg. rnA re
Remodel Moving Bldg. Zone / Fire Zone
Sewage System st. K
aap-�n, Con ., Br., etc,),.
�-7 it 2
S>)( / I Total Sq Ft 4:9 -2 z Valuation_ale
2.•
fQ f seaseiw9
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
S:cI, ' ) r
Chimney Fireplace
(Kind) / (Number
Int Wall Finish c 2yufg/I
No of Units _Bedrooms
RESIDENTIAL — COMMERCIAL
D
9&
I hereb
as sho n,
SOUTH
/(°%2T
nitteds cow
fJ/
State License No.
Ind.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures lova
er or Agent Da e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE, CONSTRUCTION
THIS IS NOT A PERMIT.
and J ekv(d1'n .5
Your street address will be fit •4/6- 0 a
an this property except
DO NOT WRITE BELOW THIS LINE
COMMENCES.
Sewage Permit Number Issued Building
Remarks
The zone Ss/ "/ /
Receipt Issued
Form 523 Bldo. Code -