1976, 10-25 Permit App: L6002 MHCanty of Spokane. Washigton
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
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 �� :�� ' . ' Address
Architect Address 7, 01-04 Phone
Engineer Address Phone
Contractor -Address
Legal Description of Prpperty (Give cggiplgte description from de , tax receipt etc 1 I /
Ql`1 �,,y - ��' lc;/ 6 Y �1��J''' /
%/
S 7 , -a- !r..�� / 3 k4 -k' Q Ar
.gLE,/±... (. Phone 726 —4476
/ /.'SSJ--300
DESCRIPTION OF WORK: New V Addition
Size of Lot nhinseyei 5Kv
Remodel Moving Bldg. Zone Fire Z
Sewage System .. • %- Const.
(Fr., Conc._,/$r., etch) /
l
Stories Dimensipes /.1/OL-'7 • Total Sq Ft Valuation h' ��j CCI
Rooms . Baths//D-Basement Foundation Const a`' himney
yyII (Full, part, nonce— /% {Kind)
Heat. System FG T��(P/P ooff Roofing
Use of Bldg. .5.ws.l^"N' +�'�^^
Leo
Draw sketch with dimensions show
proposed buildings; (4) distance to
tem and water supply lines.
Int Wall Finish
No of Units _Bedrooms
PLOT PLAN
: (1) property lines; (2) street or road locations; (3) location of existing and
perty lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
State License No.
Ind, Ine. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
4..
90' SOUTH
olOsi_rn orma
of
I hereby tion submitted is correct and there are no other structure locate
dd1 on this property except
as shown. n,r ^ n, rTn /�P-P�vr.C- / a / S /P76
Owner or Agent ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT .4 PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ` The zone :is W t
Sewage Permit Number - Issued Building Permit if�'),Recelpt� Issued
Remarks t .
COL//-?- 6
Form 523 Bldg. Code