1976, 07-26 Permit App: L4833 ResidenceCounty of Spokane. ifashoigfon
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.
Ar
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Architect
Name of Owne .�. ;,,Ar_ i i / _� - .. - Address ' �r _ Phone
Architect Address Phone
Engineer Address Phone
Contractor
APLICANT FILL IN BELOW THIS NE
910/6
Address
Legal Description of Property ( ive complete des ription from de= ax rec ipt, etc )
L . ... l' s%mitwar// ! . s 1[10'
g
9%047
Phone
DESCRIPTION OF WORK: New V Addition
S c 9 6 7c
Size of Lot 9; )( /a
Stories __/._Dimensi9ns
Rooms . Baths
Heat. System
Use of Bldg.
A
Remodel
Moving
Sewage System
1
Basement 1-.1/e/ Foundation Const 6
F If; part, none►
T +e of oofing
,/lam!•
i
Q
t. F' ish
/11/1i/,//c_ .. _
Bldg. Z
Fire Zone
oust.
�
Fr., Co fir., eta,)
- Valuation
0'6
Chimney "�'_ Fire plac�L _b ``-
'l ;inn) ,/ "'((( lum erg
Int. Wall Finis
No. of Units Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) oc atUlu_ of sewage sys-
RESIDENTIAL - COMMERCIAL
/
/4
2-0
10
I he
as sh
tify inf
Owner
SOUTH
tions +witted . correct and there are
1.11%.
diegent
m
State License o.
Ind. Ins. Acct. No.
pc) r c)AI f /L z
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structur locate on this property except
Date
A LAND USE OR STR TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
0. 74.(4.e-,,} DO NOT WRITE BELOW THIS LINE
Your street address will be %<,j 9 d C. ' -o- ,
Sewage Permi Number Issued Building Permit A ;
t
Remarks
The zone is %lp 0�'`�-�'
Receipt /(c y Issued
Form 523 Bldg. Code