1976, 03-08 Permit App: L2930 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6 -
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 most conform with the
Spokane Coilnty 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 r✓
Name of Owner i ! Addre
Architect Address
PhonePhone_neS226
Phone
Engineer Address
�! '/ // ,• //
Contractor Address Phone /%
Legal escription of Property (Giv complete description from deed, tax receipt etc 1 fry Tj �C^
AeLicru7 2tt'7? J /9-4 A)72 A.) EBOW
'7 CV s ^.2soy
DESCRIPTION OF WORK: New
C /
Size of Lot IS )iy,57 CC
// j r q�, / /
...avail
(Fr., Conc.,. r., etc.)
' Stories % Dimensions /O� /x�i� J .-�r� /AC.,Ore Total Sq Ft '^`a,p+���V�all uatior' `�G/C�
Rooms V Bath Basement Foundation Const G'/>wCD9% Chimney ?c�,ee Fireplace
• Fall, part, no _ : (Kind) Npmber
Type of Roofing ��/../� C Ext Finislt/fr ' Int Wall Finish �, CLLPi11
No of Unite L Bedroo s�
Remodel
Moving Bld.. Zone Fire Zone ,.-
Sewage System - - onst.
Heat. System
Use of Bldg.
11JY
4.-L164w. ati, 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 sewage sys-
tem and water supply lines.
NORTH
, i / fl./J
I hereby
as shown.
SOUTH
ation bmitted is correct
c_,2
Owner or Agent
A LANDAYSi R STRUCTURE PERMIT MUST BE ON THE
THIS ISNO PERMIT.
74tyi0DO NOT WRITE
7
Your street address will be Cee.;,/4.- .. _
m
ony
State License No.
Ind. Ins. Acct. No,
RE UI ED
C
Plumbing Fermi c.-
Heating Permit"(/ /,/.
Sewage Permit XJ�L/"�iE'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
PR
Date
ISES BEFORE CONSTRUCTION COMMENCES.
W THIS LINE
The zone is •,�1 {� • //`t/�;/ k/-C'C/LCC._A�'.=2,g:
Sewage Permit Number Issued Building Permit 7 36 Receipt o {'/tg Iss4ed
Remarks'
Form 523 Bldg. Code
T.
5
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