1976, 11-08 Permit App: L6128 ResidenceCo.minty of Spokane. Wash. igton
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.
APPLICANT FILL IN BELOW THIS LINE
Addres / Phone * �salt4
Name of Owner
Architect Address
Engineer�+ Address If I r 1
/I wI
Contractor Address
Legal escription of P erty (G-ve.somplgiLdescription from deed, tax receipt, etc.)
ti
DESCRIPTION OF WORK: pew i•#°.....1 ddition
Size of Lot
Stories Dimensions ' 4� X -2•8;12404.Rooms BathsBasement
Full, part, nonsejg
Heat. System Type of Roofing •
•
Remodel oving
Sewage System
Use of Bldg.
.2.2 xP2 41 / Total Sq
II
Phone
Phone
Phone
/♦
Bldg. Zone —/ Fire Zone
%� const. Xeda-
�j (Fr., Conc. Br., etc.)
Ft /Im? Valuatio
Foundation Const.
sjyq res
Ext. Finish
•
•
3—
Chimney Firep ace
(Kind) (Number
Int. Wall Finish h/' ►/L%0•1L
o. of Units / Bedrooms 3
l
PL • 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.
N
/ST,
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
I hereb certify information submitted is correct and ther e no
as shown. % _ �/D 7.�-- - d 14-JE/r-42
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREM
THIS IS NOT A PERMIT.
REQUIRED
Plumbing Permilli
Heating Permit
Sewage Permit aeaX
mast
/ Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property
except
Date
BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be � a 0
Sewage Permit Number Issued
The zone in / �1 ✓ %% ° ' ''�/i
Building Permit Jot,2T Receipt 4//7,44 -i Issued r
Remarks
Form 523 Bldg. Cede