1976, 10-26 Permit App: L5969 ResidenceCanty of Spokane. Wash!gton
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 oo 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('
APPLICANT FILL IN BELOW THIS LINA
Address
Architect Address
Engineer Address
Contractor 3-,'f Address
SP1//1
Phone 9-PAS_C1Y/
Legal Descrrp ion o roper[ (Di a completed trip on fro .deed, tax receipt, etc
Orir �
�. ;117l-Jn ic ✓� -tie P S 679- -70/01.
Phone
Phone
Phone
DESCRIPTION OF WORK: New
Size of Lot
✓ Addition Remodel
Stories D imensionsg,X(i
Rooms Baths / (Fu, Bemasnone
Heat. System
Use of Bldg.,
Type of
a
Moving BI Zon / Fire Zone-'
age System onat. �r at
. ) (Fr., CoAc., Br., �f• )
s� Valuation �/ / Ga
mneyFira ace -72 fla..t
ind (, 1 INymber , �-
fO��./t��/.' C -H/1.// taI Sq Ft
F• , dation Const Chi
j/ Ext
nish / //�
/
Int Wall Finish
PLOT PLAN
0 of Units/Bedrooms a-7
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings
tem and water supply lines.
NORTH
RESIDENTIAL - COMMERCIAL
as
I hereby ti
SOUTH
do submitte
Wig!?
;Orr Agent
A LAND USE OR S CTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
s corre
re
s
y
(3) location of existing and
6) loo atign sewage sys-
Ind. Ins. Acct. No.
REQUIRED //
Plumbing Permit �h
Heating Permit -777-1C—ee.
Sewage Permi s+ -n `et4/,# f
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d there are no other structures
cated on this property except
Your street
Sewage Permit
Remarks
D e
ONSTRUCTION COMMENCES.
(i DO NOT WRITE BELOW THIS LINE
address will be c � 0-. /D P
Number Issued Building P ming eib fj
The zone ia'2CRSUlf/l/ ��u�t'/ L•-2,
Receipt 3 i. ssued
Form 523 Bldg. Code