1975, 07-08 Permit App: L1082 Residence• •
County 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 onwater 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 99037
Name of Owner
Architect
Engineer -
Contractor
/l - Address / 1 a
- ` - Phone 94 -7cJuC
Address -ra. Phone
Address Phone
Address(
2/ 6 "' l Phone .
/ i/ ,XdL/
Legal Description of Property (Give complete description from deed, tax receipt etc
3'
aC.� 4-13 -c
DESCRIPTION OF WORK: New _._ Addition Remodel Moving Bld one Fire gine,
Size of Lot `4� 1< i.•�� Sewage System �32�'--c•(Fr.s Const.
Br.,, etc.) oa
Stories /l Dimensions �6 �` 'Z'4 1-`1-`` /0 4 �oottaaI Sq Ft V
(Fr.,
��7U ,i n `
Rooms ' I Baths Basement Foundation Const _tit ^ L. C.; Chimney Fireplace i
(Full, part, none) (\ o ,f (Kind) (Numb
O Q, Type of Roofing S-4 1-.1 a-,� Ext Finish ,-.1-t.•-•-7� Int Wall Finish d€"/�—P_
A _ No of Units _ Bedrooms
Heat. System
Use oVBidg
PLOT PLAN
vDraw sketch w/lth dimensions showing: (1) property lines; (2) street of road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
m
-I
SOUTH
State License No.
9_23-Gi-206(3
IndI Acct. No.
,
%i/-2(
REQUIRED
ad Plumbing Permit
, X7 Heating Permit
Ts
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t
I'her•by c-rtify information submitted is correct and there are no other structures
shown.
1
property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Oiw -2/14440 10 _JO
Your street address will beag
aC�i DO NOT C E BELOW THIS (LINE
7 Q " ! r ` The zone is
Sewage Permit Number Issued Building Permit 7i.. 8'L Receipt elf ,'-C`- :sued
Remarks
.l Form 523 Bida. Code