1976, 09-21 Permit App: L5488 ResidenceCbrinty of Spokane. Washolgton
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 eca i9n�.
APPLICAN FILL IN BELOW THIS IN'',,�''. /L�'1��/?
/�%� AIi one AGL
•
Name of Owner. '4 ess
Architect Address
Engineer Address
Contractor �Q Address
Legal
e
ri•t on of Property ( i e complete d
r 16-
_v.
e
scription fr
de d, tax receip
Phone
Phone
Phone
DESCRIPTION OF RK: New - ' Addition Remodel6-_. Moving
Size of Lot q s 2'�X / 3 7 IX x,1p 47 Sewage Syste
Stories / Dimensions 6-'7" h� iTx �" E�) Total Sq Ft
Rooms Baths ) Basement • - ' Foundation Const -( Chimney
ull, part, none%
Heat. System i ' � Type of ' • •fing / i` i . / E t. Finish / /1/
Use of Bldg.
on- / Fir one
ryonst.
(Fr., Conc., Br., etc.)
Valuation
Fir- •lace
(Kind)
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; (. lob jon o •wage sys-
tem and water supply lines.
Int. Wall Finish
No. of Units Bedr
(Numbe -
NORTH
RESIDENTIAL - COMMERCIAL
yr
REQUIRED
Plumbing Permit
m Heating Permit
us Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce informati. Win- itte•/ s correct and )ere are no other structures located on this property except
as shown
64i`C�9
Owner or ge Date
A LAND USE OR STRUCTUR RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number Issued Building Permit Yj yg Receipt
Remarks
be/(G?CogL�r�
The zone
ssued