1976, 08-31 Permit App: L5272 Residence-4
Cannty of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �,4'
GENERAL REQUIREMENTS PERMIT FEE .0
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.
G /fe;
i APPLICA FILL IN BELOW THIS LINE
Name of Owner _4 '1 moiC 4 - ..r %i. ' .. ress
C�.,1�
Architect :E, fAddress Phone
Engineer Address Phone
Contractor >0'Z -y1 C Address «1-(< Phone
Legal Descripti. of Proper Give complet• description fr•m deed, tax recei.t, et ► ®
l ` 4 A.
r
.40:d
Phoney9-5C 7 €
DESCRIPTIO
Size of Lot
N OF RK:
/
ew Addition
R odel
Moving
Sewage Syste
Stories / Dimensions
Rooms — Baths
Heat. Syste
Use of BId•
6 f/y-
Basementou•
uII, part, none
Type of
fing
BI
0
/ � �' ' Total Sq
dation Const 60-7P� Chimney
PL
Ext Fi i Int. Wal
T PLAN
0. 0
Draw sketch with dimensions showing: (1) property lines; (2) street or road locatio
proposed buildings; (4) distance to property lines std streets; (5) dimensions of buildi
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
— Fire Zone c�
Con �Z
(Fr., on c., Br., etc. -
Valuation<�
Fireplace,
Finish
Units 7L Be
te74-C
‘fieze
vim
s; (3) location of existing and
gs; (6 l•cation of sewa_e sys-
N
I hereby ce i r infor
as shown.
Owner or
A LAND USE OR STRUC
THIS 1S NOT A PERMIT.
m
a
REQUIRED
J9(/
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion sub 'tted is correct and there are no other structures
Your street address will be
Sewage Permit Number
Remarks
Date
located on/this property except
!
f 7 li
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
X9/9
Issued Building Permit t S-..)/ 2_ Receipt oZ $'o QIssued
The zone i
Form 523 Rlda. Cade