1977, 02-22 Permit App: L7032 MHUntidy of Spokane, Wash` igfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ___----
GENERAL
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 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.
Name of Owner
Architect
APPLICANT FILL IN BELOW THIS LINE
42
Address
Address
Engineer
Contractor
Legal Description of Property (Giv
o plete descrip
- / br( (fwi
Phone s�<-/ e'5 Y
a( Phone
Address 4:4 T- lri+ at eziliort 44,E . Phone
Address—Phone
rom deed, tax Lece%/iiptt etc )Ai0 i_y•_i '1 I`
szd
DESCRIPTION OF WORK: New Addition
Size of Lot fi '
A/ /$6s-'
Stories Dimensions c2c X 30
Rooms Baths�/ Basement /1/ %l Foundation Const
(Full, part, non31/47—
��
Type of Roofing
Remodel
Moving Bld
Sewage System
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
4/1
1
r
NORTH
aC.CQ
Exish
Zone
Total Sq Ft
Chimney
di
/ 1�f, Int. Wall Finish /V
No. of UnitsrYBedrooms /I
on
Fr., ( nc r., etc.
Valuationy�
Fireplace /r
(Kind) Number
Fire Ione L i
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL COMMERCIAL
S •"T' H
I hereby certify information submitted
as shown. 1.��fit-
�/ Owner or Agent
is correct and
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
there are no other structures located on this property except
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
Remarks
DO NOT WRITE BELOWTHIS LINE
/L967/
Issued
Building
The zone i < p/ // i%/_
Receipt 54 Issued
l ,a7t.c. o/c
Form 523 Blda. Cede