1976, 02-06 Permit App: L2586 ResidenceCounty of Spokane, Washington
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.
u
Name of Owner
APPLICANT FILL IN BELOW THIS LINE f. ,1t2- 59�ato
Architect
Engineer /�
Contractor / tj/V/` /HALO fr-A/
Legal Description of Property (Give complete description
/SSA///V t-T?.?/Y
Address
.23 d,Q g.L/TEZ Phone Y2 4— "lea
Address Phone
Address ��/ Phone
Address %76114wELe-SL Phone 92-V-47
from deed, tax receipt, etc )
Qo
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot /610* /�?/ X 1ZOZ Sewage
LDim nsidfi"s
Stories ! .44.-3;(21// 2.01)( 2 4/
3G—zG—rL&(
Moving Bldg. Zone / Fire Zone v
System Sig".0/7 fonst. '# E
Total Sq. Ft /5'5'2 Valuation
Rooms S.Baths / Basement rt, LI- Foundation Const
Fr., Conc., Br., etc.)
f�-01S%GT� Chimne 0l , Fireplace
Heat. System
Use of Bldg.
(Full, part none
(Kind) (Numb
Type of Roofing f ..O/YlA Ext. Finish�eled i 9`c P t Wall Finish 4 w L4
Er'/OF1YGGr G!J /Tfi &Aide ( eF+G�' No. of Units Bedrooms -2—
PLOT
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; (6) location of sewage sys-
tem and water supply lines.
t
m
t
NORTH
COMMERCIAL
7g7 -r-74 L 6'i4'/S/ 'z* Ftp, A"'T,
/ c55'
E. /4972_
I hereby certify i
as shown.
SOUTH
m
in
State License No.
///.2 S
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit !%!r'UG'�Gl�E
Heating Permit C
Sewage Permit &GCC%'' 0 -dem, £ *
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ion submitted is correct and there are no other structures 1
ated on this property except
97to
Agent Date
A LAND USE OR ST UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/P4: 4, DO NOT WRITE OW THIS LINE
Tour street address will be
Building Permit'
Sewage Permit Number Issued 2 j __ ( U
Remarks
l6 o
-1 " 4be zone is
Receipt Is ed
Form 523 Bldg. Code
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