1976, 10-06 Permit App: L5721 ResidenceCounty of Spokane,' Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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 / Q��-
Address =/7� i Wt' /dSLc/
anytn
Name of Owner t' Y1 f C r-1 O"h € .
Architect/ Phone Engineer
G /
Contractor i -)1 / !4 cv 5 Address _/P:4/ .g // l, .+� cy
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Phone 7 6- ?5Loo
Phone
Phone �f 2 L - 2 -Yoe
_5 SLI/ 0
do -vii E re -mss - 1/44
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot /.2 C X / .5 -.:,-
Sewage System
Const. FR*/I= Dimensions i•1l 3.` f X-5‘1�-�) Total Sq. Ft
(Frame, concrete, brick, etc.) r ,C•
Rooms W Baths Basement f l/�/ Foundation Const C :a /1' - l -k- t24. -
Moving Bldg. Zone / Fire Zone
S E' W Rh' Stories /
Valuation y7, c e' 1-
c'Rrcry €) Z
Chimney 8 r Fireplace
(Kind) (Number)
Int. Wall Finish C1 off' S G 1 Yl
No. of Units Bedroomsl
Private Detatched
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg. Re sn L L J
Garage or Carport Attached /4 *f AC h t' �f
SiMir
Ext. Finish
W:101
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
em and water supply lines.
m
N
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
12Si.I/
S
/
CARNINL couar
I hereby
as shown.
y3 3
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit r1 , L' e-1 /t
Heating Permit �T /D d c r n.
Sewage Permit t�c� Sq
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
certify information submitted is correct and there are no other structures located on this property except
ift.-406-*-01 /6 / 6 /74
Date
Owner or Agent
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 r a I,'7
Sewage Permit Number Issued
Remarks
Building Permit
—*/1
'e zone is
Receipt 3 yl 7�y ssued
Form 523 Bldg. Code