1976, 12-20 Permit App: L6542 Demo ResidenceCanty of Spokane, Wasigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI 0l
GENERAL REQUIREMENTS PERMIT FEE 40(
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 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 q9�/g
Address 6' �a t Phone
Name of Owner
Architect
+�'y�� 4 Engineer
��
V
Legal ascription of Property (Give complete descrip
vv �I /3 • / J
. Tat s of
Address - Phone
t Address
Zvi . Address S LL y
(
tt
Phone 95
Phone
n from deed, tax receipt etc.)
44./ pe,
.41
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 27
Size of Lot Sewage System Const.
r., Conc., Br., tc.l
Stories Dimensions Total Sq Ft thrO Valuation
Rooms Baths Basement Foundation Const Chimney Fireplace
Full, part, none) (Kind) (Number
Heat. System Type of R /ting Ext. Finish Int Wall Finish
Use of Bldg. ..7772-..7• 1—_.„0 7' T+C O�C l ii�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.
NORTH
RESIDENTIAL — COMMERCIAL
I hereby kerjt
as shown.
SOUTH
State LiLenee No.
Ina' tns. Tcot. No.
REQUIRED
Plumbing Permit
w Heating Permit
N Sewage Permit
- 1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
onbVtted s rr ct a d ewe are no other structures located on thisproperty except
Ovine} or Agent ' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will b//Sl/�,
Sewage Permit Number Issued
Remarks
I '
/171779 / The zone is
Building Permice i pt 6/art
Issued
Form 523 Bldg. Code