1976, 07-26 Permit App: L4834 ResidenceComfy of Spokane, Wasimigton
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 T IS INE
Name of Owner i / '� = -�/ Address
Architect Address
Address
Address
Engineer
Contractor
Leal Descri
tion of Propel (Give complete description from .eed, tx ece'pt, etc 1
Phone S15_%45V S
Phone
Phone
Phone
DESCRIPTION OF WORK: N Y /� Addition
Size of Lot 96p / x (UX
[_stories 1- Dimensions 1915/ fie • 4 %f Z'" 4t,/, Total Sq.
Rooms _ Baths / - Basement / Foundation Const Chimney
1, part, none
e of
Remodel
Moving
Sewage Syste
B
g.
Zine
Heat. System
Use of Bldg.
Fire Zone
/I4�%�c.�
C c. Br., etp.)
Const.
Valuatio
Fireplace
(Kind) �/ l•• •• •..�.
Ext. Finish 77/1 Int. Wall Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; 6).1j, cation of sewage sys-
tem and water supply lines.
No. of Units L Bedr
property lines; (2) street or road locations; (3) location of existing and
m
iA
NORTH
ESIDENT L — COMMERCIAL
I hereby cert infor
as shown.
Owner
SOUTH
ed isrrect and there are no other structures located on this property except
State License o.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7 6
Date
A LAND USE OR STRU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
;g_ It A -Z DO NOT WRITE BELOW THIS LINE
Your street address will be .
Sewage Permit Number LIssued Building Permit o& J/,
The zone is .zJA44-
Receipt c Issued
Remarks
Form 523 Bldg. Code