1976, 10-26 Permit App: L5971 ResidenceGinty of Spokane, WasSgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON: SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT , cc
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.
Name of Own
Architect
Engineer
Contractor
APPLIC • . T FILL IN BELOW THIS LIN
Lee- Description of Pr. per (Give compl
to des ipti
ddress
Address
Address
Address
from deed . receip , etc
anntALMEZAKS
Phone 9 , fl 9P
Phone
Phone
Phone
Cr--nr
AdMil
i ion Remodel Moving BI g. Zone, / Fire Zone3
�/j -/ Sewage System > , Coust -/'7
[it-" � (Fr.. Cohc.. Br., elc.) T
AtL
.f3imensio s_� IYAI�J/ ,�� , , Sq. _ . 7e _ ,
Baths Basement �aC'�i1r�Foundation Const(j d Chimney t' Fireplac r-7C_Q
Full, part, non �L�)``__ __ (Kind) , f) l umber yi
Ext Finish Int Wall Finishy e 76 e
No of Units/ Bedroo s cil
DESCRIPTION OF WORK: New
�Siizze of Lot
c5 -
tones tones
Rooms
Heat. System
Use of Bldg.
Type of Roo
9
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) .cation of s-iage sys-
tem and water supply lines.
PLOT PLA / G.
property lines; (2) street or road locations; (3) location of existing and
NORTH
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit .0 1/ . /�
m Heating Permit Sr.,.[r_ai, T
N to Sewage Permit I1)a-Q—/c' 01.
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
citify_ format' n sub itted is rect and there are no other str/uct es 1 rt7ed on this property except
A LAND USE OR S CTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
CONSTRUCTION COMMENCES.
Your street address will be
.2:5/ K R Gf The zone is (47-2....,
.j L�:a+5
Building fermi • /'Receipts3S"'-fi-Issued
- I`"
Sewage Permit Number Issued
Remarks
Form 523 Bldg. Code