1976, 09-03 Permit App: L5325 ResidenceAPPROVED As rho -E1
Spck n . C _I�tColinifetif Spokane, Washington
N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
AND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE -W
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 mast 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 a4d 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, sh!''s. 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 Owner
Architect
Engineer
Contractor
APPLICANT FILL IN BELOW THIS LINE
Address
Address Phone
Address Phone
Address Phone
53,-711
Phone 9.2)ea/7,
Lega escription of P ty (Giv complete di •tion from
;t
, tax receipt, etc 1
i
DESCRIPTION OF WORK: New v Addition Remodel
Size of Lot
— /'0$e --A /3-.r
Moving
Sewage Syste
Stories _Dimensions ay/ IA ../Y4 y c2O _4'07_
Rooms __ Baths colt Baseme Foundation Const Q7L Pj
(Full, part, no
Heat. System Typ o Roofing i i
Use of Bldg. ,��s. APr i .1 IP _
/
Bldoi Zone 1 Fire Zoge
Const
Fr., Co Br., etc.))
Total Sq. Ft /LQ4—d/lu ions.l�J �O Q
ChimneNLQtG.r<Firepl. e
-f- Ind) (Numter
Ext. Finish C1/1C�JL Int. Wall Finish
No. of Units
PLOT PLAN
V7(...4
11
Draw sketch with dimensions showing: (1) property lines; (2) street or road locat :us; (3) location of existing
proposed buildings; (4) distance to property lines and streets; (5) dimensions of b dings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCI
SOUTH
I hereby certify information submitte
as shown.
REQUIRED
Plumbing ' =••4t
Heating Permit 4'
LP
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building PermitLJ a2JReceipt
Remarks
DO NOT WRITE BELOW THIS LINE
lie -zone is