1976, 02-02 Permit App: L2536 Renewal of K6670Cbunfy of Spokane, Washifigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aqy
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
Name of Owner % IFir
Architect Or / Address Phone
Engineer ......---,--e_ Address Phone
Contractor Address Phone
Legal Degcri i of Property (Give ompl to description fr./ de d, taaxe�pt, etccr� 225--/-/_? — /i /1
Phone
o:�2,.
DESCRIPTION OF WORK: New Addition
Size of Lot it / -5—
Stories
Stories / �
Dimensio s ,c/t :1_4
Baths Basement Foundation Const. C4, ..-------,e_
—ITU' I, part, none)
Type of Roofing"—��
Remodel
Moving g. Zon
Sewage System
Total Sq. Ft —2,-)
/
Rooms
Heat. System
Use of Bldg.
Fire Zone
t.
Conc., Br., etc.)
Valuation
Chimney Firepla
(Kind) (Number
Int. Wall Finish
No. of Units _ Bedrooms
Ext. Finish (
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIPILSOMMERCIAL
m
Ctr
o
State License
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb certify • formation sub tted is correct and there are no other structures located on this property except
/24 eyje
as shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be //
Sewage Permit Number Issued ,Building Permit
Remarks
The zone is
Receipt
ssued
Form 523 Blda. Code