1976, 08-30 Permit App: L5304 MHCounty 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
ind or alter any building or structure already erected, or to change a land use. Construction must conform with the
pokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
ATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
he 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 bei
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 Phone 9__�6r_Gi
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete descriptionf om d ed, to recei t et9 )
/BG NGt±c?�r c) / Pic.)h
ifi,4-t
DESCRIPTION OF WORK: New / Addition Remodel
Size of Loft -%-7%( // S
Stories / Dimensions /'/>(/
Moving
Sewage System
Rooms Baths / Basement Foundation Const
(Full, part, none)
Heat. System/ _ ��c_ Type.1 lof Roofing Ale / Ext. Finish
Use of Bldg. /4141 - ..4, mGy c'7C c -
Bldg. Zone/
Co
(Fr
Total Sq. Ft `,A,/ Va
Chimney
416.• sc c C
Fire Zone
nst.
., Conc., Br., etc.)
luation
Fireplace
(Kind) (Number
/% ;6 / Int. Wall Finish
l�G 5
No. of Units _ Bedrooms
P
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.
m
N
1
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby certi ormation submitted
as shown.
Owner or Agent
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this
> 7�
property except
Date
A LAND USE OR STRUCTURE 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 Issued
Bu dYrm
The zone is ,0/1
Receipt -24'1r Issued
Remarks
Form 523 Bldg. Code
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