1976, 05-18 Permit App: L3886 ResidenceCounty of Spokane, Wastiffigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE -/-),53'
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 -
Architect
Engineer
Contractor
APPLICANT FILL IN BELOW THIS LINE
Address
Address
Address
Address
Legal Description of Pp° erty1Give comple a cription from deed, to rec
71
ipt, Qtc )
Phone
Phone
Phone
Phone �jlL7`'c
I ..,7
,to 6- -2a 1 fC 44.
v"- Add Zo Fire Zone
DESCRIPTION
OF WORK: New
Remodel Moving BI
Size of Lot c7:5/X f(7/X3L'Xl2-„(i X� G�
Stories dimensions
Rooms 7 Bathsr j Basement
,Full, part, n.
Heat. System 4 d,,/ -Type •f Roofing
Use of Bldg. li
c2i17 '
Sewage System
/,2'A/4,
�
onst. �-�4—, .n.Z
�,..
-Fr., Conc., Br., etc.)
- Total Sq. Ft. Valuation G"f'.L^
Chimney��E� fireplace
r (Kind) / (Number
t. Wall Finish «/4/f"
No. of Units L Bedrooms -1
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 se age sys-
tem and water supply lines.
m
NORTHZ A
ESID
TIAL -,-COMMERCIAL
as sh
J
2-42- ---
-c
I hereby ce1•ify informa_4on
SOUTH
bmitte is corre94 and there
are
m
IP
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures jroca ed on this property except
Owner o'r Agent,
571/ 7fr-
Dat
A LAND USE OR STRUCTURPERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(�Jfr tom --Z)
Tour street address will be E,
DO NOT WRITE BELOW THIS LINE
(
Sewage Permit Number Issued
Remarks
1 -mm 'Thr VL
Building Permit
The zone is � gf
/ScesReceipt C' ,2"L' Issued