1976, 03-10 Permit App: L2937 ResidenceCounty 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 ally
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
Name of Owner%v AdCe 7/ 1 , c' ; L Whone
Architect /� 0/ f%'dt'f` tt. i Address L/>/// . s(2t/, Phone
Engineer Address Phone
Contractor Z),0-0 ).f✓ 1; Gt""7) /'I , Address ` 11 1 C / Phone --'10-1.-"/"t-gr
9 L7—C-6/2
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
c'% 7/ /i ' 2 -- ,:s(/ f / /0/ '/� �> e � /, / 3t�%_ /- /T/oma,.,
/'✓tom!3.6/15 UI zi"71 VS _'`ioXyd c
3 ( 'i_ • t/t:./-t
DESCRIPTION OF WORK: Naw Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot � 3Js j Sewage System k'71r" onst.� 1! e-
,
i
FFr., Co c., etc.)
7 Total SqFt �''� Valuation
Stories / Dimensions - C /'� �
Rooms Baths Basement
(Full, part, no Foundation Const
Heat. System ,f- Type oYRoofing t/h' ; Ext Finish
Use of Bldg. ,5 t .L; ce -;% , t ,'. `(
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
PLOT PLA
property lines; (2) street or road locations; (3) location of existing and
lines ar• - , - 5) dimensions of buildings; (6) location of sewage sys-
-
State License No.
Chimney✓(/ /' /Fireplace
(Kind) (Number
Int. Wall Finish /r"/',1,4
No. of Units Bedrooms �S
COMMERCIAL
SOUTH
I hereby certify info!' tion ubmitted is
as shown � `
correct and there
/ lt1_-3/
Ind. Ins. Acct. No.
REQUIRED /
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Owtter o Agent Date
A LAND USE OR ST TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
The zone _4/
Building Permit L,,037 Receipt C 6 ,2 Issued
c _ cne ou_ r__,_