1976, 10-15 Permit App: L5845 Residence•
County of Spokane. Washington
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,
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�/LI/NE C
/ry/,//ou) r�, (I 9/1-c.0-1:10-71
, la -1 Yr'=i eOn-,U� Phone 9�rJ 'a.��'/�
" Name of Owner .rt-rn u '� 9%+f' yr 0I'✓ Address ,C—
G°
of at
Architect 0 Address
Engineer��//��- Address Address
Contractor r A-t-•�y (P��6^ ..C,v
Le .I Description of Prope y (Give complet
Phone
n• Phone
description
description from deed, tax rec-ipt etc.)
c
-c' 6'. --Phone
4 /'753" 3—/0(.7t
7
o4
DESCRIPTION OF WORK: New // Addition
Size of Lot 1-311 ' cs-so a
Remodel
oix
Moving Bldg. Zone l Fire Zone
Sewage System S' 7 Const. f -,or 0
/6 93, (Fr., Conc., Br., etc.)
.J �i ' — Total Sq Ft Valuation P381' 0 D
Foundation Const Co r+ r_r
gs-" Chimney Fireplace 0
(Kind) (Number /J
a-/ Wall Finish d - / n(
No of Units _ Bedrooms P..../
Stories Dimensions 17
Rooms .:, Baths 3 Basement' o 1/
(Fyn, .art, none
Heat. System
Use of Bldg.
Type of Roofing
rri
J4,7.
PLOT PLAN % fI /
Ext Finish / 1/
Draw dimensions showing: (1) property lines; (2) street or road location's; (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 RESIDENTIAL - COMMERCIAL
I hereby cei?E1 y information
as shown.
A LAND USE
THIS IS NOT A
SOUTH
ubmitt
rn
N
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
ERMIT.
Owner or Agent
DO NOT WRITE BELOW THIS LINE
Your street address will be 97 I/0 afllc-.At ✓ I fi.Q The zone is
Sewage Permit Number Issued Building Permittr,ntiy` Receipt a239 Issued
Remarks
Form 523 Blda. Code