1976, 10-15 Permit App: L5835 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
FIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
k or alter any building or structure already erected, or to change a land use. Construction must
rpokane 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,
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
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work
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
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 THIS LINE
structure of any
conform with the
of
at
ingress
must be
or State
Name of Owner . wr. waw ' li Address �� 1C'I Phone L= _7C:22_.
Architect Address Phone
Engineer Address t Phone
Contractor(" -CC Y� c
�� �-r�. Ct`\E_ , Address I" ,'._7- - )! {,c, c,!, Phone r %' " G �.%:_-,.
Legal//��Description of Property�(Give cjmplete, description from deed, tax receipt, etc 1 ' { �- _ -1 /1 C' % -i-r-/ / — /y 7 4-/
:-Yr./'. =7 /'1.i-. /
C,
. - L.,:-/-t°a�l'�L6., -r-r,. c , : �C--4-
DESCRIPTION OF WORK: New Addition
Size of Lot `75-
Remodel
/'i
Remodel
Moving Bldg. Zone
Stories D• imensions E ) ` .� :2 0 CA.-
Rooms
�Rooms .7 B• aths
Basement
uII, part, none
Heat. System I/J f J Type of Roofing
v/1
Use of Bldg.
Fire Zone 73
Sewage System s r Const.
(Fr., Conc., Br., etc.)
Valuation i?' j''-1 "—cc:
Total Sq. Ft / 7--Z.,,,/
Foundation Const. o •ri r ,. ti T ' Chimney Fireplace /--/c' -1,
(Kind) (Number
Ext. Finish T / / / Int. Wall Finish :-e....--,..,...—..- c 7.
( !
PLOT PLAN
No. of Units Bedrooms
Draw sketch with dimensions showing: (1) property lines; (2) street or oad 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.
tr
H
NORTH
RESIDENTIAL — COMMERCIAL
I hereby cert
as shown
0
SOUTH
on submitted is correct and there are
State License No.
ct No.
REQUIRED
Plumbing Permit
wr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
n r or Agent Dat
A bCNtt.-4JSE UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION C*MM`rtNCES.
THIS IS NOT A PE ' MIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number Issued Bu ding Permi
Remarks t`(
The zone
f Receip6CL'i ! Issued
Form 523 Bldg. Code
1.0
0.2
15"
-
1
144
O
12'
1
.90o
GAL._ jt
1b,
0
95'
80 1 7
J
Deck
8'x10'
•
, D,(' i A) &DO JAS
Jor 9, Bt '(K
ft,e'4 BEh v k'4,vCN
1.4'6
40'
25'
22'
N
4
F zq'-
— 16'
28'
i
18'
sc OEC
C UR li ELEVATION 0.0 REF.
2VC K E (Paved)
/ 5' CoNc. APPROACH
i. 0
0,2