1976, 03-20 Permit App: L3036 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 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
preformed 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 ortate
H hway, clearance must be obtained from the County Engineer and/or State Highway Department.
AGtESSORY 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
(--) i)...
Name of Owner "✓'cz:eG['.J C
Architect
Engineer
Contractor
Address
Address
Address
Address
E % ') 4,ur-e..e67., Phone
Phone
.3AIiPhone
"j'I•) � L Phone
Legal Descrption of Property,(Give complete description from deed, tax receipt, etc )
dfJ / '"
Si 9 •7O
DESCRIPTION OF WORK: New i— Addition Remodel
Size of Lot /�>�/
Stories5.�I Dimensions ;10/y �� ^ / 7,1Rooms -7 Baths Basement r (ill Foundation Const
(Full, part, none)
Heat. System4;1-L 13 Type of 5oofing�� �d 7
Use of Bldg.
Moving
Sewage System
Bldg. Zone
7—
/
Total Sq. Ft
l Fire Zone
onst.
A-, (Fr., Conc., Br., etc.)
..
Valuation c J
C riCTQ7C— Chimney/
Int. Wal
Ext. Finish X' /0
\aPLOT PLAN
.1< Fireplace ""1
Kind) (Numb9r
Finish-+) &
No. of Units —Bedrooms
/ L
a` 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-
r
tem and water supply lines.
sit
N
NORTH
RESIDENTIAL - COMMERCIAL
/3
SOUTH
I herebyc ify information submitted is
as shown•
correct and there are
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREM
THIS IS NOT A PERMIT.
/K =
2444.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Pick e ,U
Plans Mailed,'
no/other structu;es located on this property except
Date
ES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS UNE
Your street address will be
Sewage Permit Number
Remarks
17,5-/ -3 G�.'c� i % The zone is
Issued Building Permit/ aQ 36 Receipt 0 -1')-0 Issue
Form 523 Bldg. Code
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