1975, 10-26 Permit App: L5972 ResidenceCanty of Spokane, WasI!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o0
GENERAL REQUIREMENTS PERMIT FEE 5d
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
ri�•7_
Name of Own
�'j� .. _ Address ...W.. "1 Phone
Architect
Engineer
Contractor
Legal scriptiowof Property ( ive c mplete description fro deed tax receipt etc
f_. 9 ,- ,ate ,rti��ti��
A - ,v �aft; � e%11271:4--"-
Address
2s�
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Address Phone
Address - Phone
Address
DESCRIPTION OF WORK: New Addition Remodel
Moving
Size of Lot /JrX7 )(MIL'? x J.36, Sewage System
` --�j a
Stories Dimensions ��� /,(,) � %��1/ � f0� .dirTotal Sq
Rooms Baths / Basement z""tel/' Foundation Const. a_�
(Full, part, none) tel,
f
Heat. System i 1 -_ Type of Roofing .se a Ext Finish
Use of Bldg.- 4o
PLOT N
BI Zone Fire Zone
-Const.
Q (Fr., Con . Br., etcc
Ft6>�9 Valuation
Chimney -3-Z171 €replace ��n�7^C
(Kind) (Numbee/rr
Int Wall Finish 2/j hg f
o of Units/Bedr ms
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) ocattQn of wage sys
tem and water supply lines. '- 5
m
H
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
car yon matin' submitted is corm and there are
a
N
N
REQUIRED
Plumbing Permit
Heating Permit' .-r.-.'
Sewage Permit 447OA—to
k6L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures, located on this property except
- 2 . iGPn /a .;2 i / -76
r Agent to
A LAND USE OR tV CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Tour street address will be _r d
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Bu
(ding Perm
Form 523 Bldg. Code