1976, 02-27 Permit App: L2800 RemodelCbcrnty of Spokane, Wastinigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI l
GENERAL REQUIREMENTS PERMIT FEi
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.
Name of Owner .i
APPLICANT FILL IN BELOW THIS LIN
9y2-40
Address Phone %} G y3T j
Architect AddressPhone
Engineer _ ,) A Address Phone
Contractor �aR4l�G+'- ' `J---*� Address f) Phone
Legal Descril ion 0 ro 1erty (Give comp a description from deed, tax receipt, etc) CL ' �- o %S "7/c2 — y� C 3
‘vet.< / UA -e /Q �/ 44/2 / 45-7/7/_ /'7d - / 77, to. .2,7_r
c.
DESCRIPTION OF WORK• New4
ddition
Size of Lot
Stories Dimensions X j0
Rooms _
Fu
Heat. System
Use of Bldg.
X Remodel X Moving
Sewage System
X
Idg. one Fire Zone;,
CConst. ������
(Fr., Conc., Br., etc.) tSiC
Total Sq. Ft. C Valuation
BasementJrn' Foundation Const. Kt il- Chimney Fireplace
1, part, none]—`— ( ind) (--, (Num.Gr
} Type of Roofing (-72571 11 /0 Ext. Finish ri 1 Int. Wall Finish (J"' `' c -!
/e 1 ��,{� . y 44.W.-„, No. of Units _ Bedrooms i (A
PLOT PLAN ena' P61-444 / Gr#r4t-red ,., v -e -+-*m9 4vL7 .
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
LD1
35 1
I hereby ce
as shown.
A LAND US
THIS IS NO
ify
SOUTH '-
State License No.
,te(
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
To
4/1 Sewage Permit
} Plans Received
Plans Checked
(� Plans Returned
Plans Picked Up
Plans Mailed
orma,lfXjon submitted isrForrect and there are no other structures located on this ,roperty except
Owner or Agent Date
ItR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be .q)Z)M �u-G-%�-+The zone is
Sewage Permit Number Issued Buil ing Permit 0.46j()d Receip
Remarks
ued
Form 523 Bldg. Code