1977, 03-30 Permit App: N0261 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / �1
GENERAL REQUIREMENTS PERMIT FEE .__ 5' I/
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 dedicati ns.
APP CANT FILL IN BELOW THIS LINE
tQ2-•-11 Address ; ,
Name of Ow
Architect
Engineer
Contractor
Address
Address
Address
Legal Description of Property (Give complete description from deed, tax receipt, etc
RC2A7�., >:� k,
Phone =✓ 3-� � L 7
r,� Phone
, T- 0.) Phone t/
.S is- Phone 3 �, � T
DESCRIPTION OF WORK: New /z AdditionRemodel Moving IV Zone I Fire Zone 3
Size of Lot/..43/ .1. Q ,,S' X _ y Y Sewage Syst r� / `�'�'
const.
rI ri (Fr., Conc., r. etc.
Stories / Dimensions X s ( u '� X 1/' f`'riy Total Sq Ftti� Valuation
Rooms G, _
aths BBasement :—Ci2 Foundation Const Le -21-.4..7,;,
Chimney L- Fireplace
7 Ful. art, no i r. /) 1 (Kind) /umber
0 XiHeat. Syst: ��..� "'TyIre of Roofing . Finish t4-4 -L/ Int. Wall Finish �Z. L -
Use of Bldg, 3 .� �/ jJ !L --z, %�� r -c-
No. of Units Bedrooms
PLOT PLAN
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) location of sewage sys-
tem and water supply lines.
m
-i
NORTH ' SIDENTIALf COMMERCIAL
ti
State Lice e No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif informatio witted is correct and there are no other structures located n this, property except
as shown. /
/4/
Owner or Agent
Date
„le/
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IOT A PERMIT.
i At fi' lYvl
-
DO NOT WRITE BELOW THIS LINE
u
Your street address will be, ��� �,it " 71./
Sewage Permit Number Issued
Remarks
Building Permit
The zone is
Receipt /n? I1ssued
form 523 Bldg. Code
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47 rf