1977, 03-24 Permit App: M0096 Residenceanti/ of Spokane. Was*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT //��
GENERAL REQUIREMENTS PERMIT FEE g!/
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of aril
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.
SETBACK 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 thestructure 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
Name of Owner
Architect
Engineer
Contractor
-Address
Address
Address
Address
/Lea liet4A-i
Phone
Phone
Phone
Phone
Legt e�scrip ion of royarty Give comple descriptio from deed, tax ecei t etc.)
-"Ade�/l 7f/er
` »,u % '4 ,o ,tJ .
DESCRIPTION WORK: New Addition Remodel
Size of ot Y316 Ki)>X el3.62c /.)a
Stories
Rooms
Heat. System
Use of Bldg.
'mansions j 3g%C t lr W
Baths / Basement
(Full. part, no
Type of Roofing
1"-)Cz4 //
Foundation Const fere-7144
.i Ext Finish
71 4 .5 4�-224
Moving 8 Zone Fire Zone
Sewage System.— Const. n f
r., Con ., Br., etc.)
Total Sq FtA 6 Valuation
Chimney tFireplace
(Kind) (Nvumbe�,)le
Int Wall Finistbn774
0 of,Units. Bedrooms/r_
PLOT LAN
Draw s ch 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� to ten o _wage sys
tem and water supply lines.
State License No.
Loc2r13 D4)
NORTH
RESIDENTIAL - COMMERCIAL
3>-
1-33.
r
SOUTH
s
y
Ind., Ins. Acct. No.
REQUIRREED
Plumbing Permit _-`��
Heating Permit "-re-'"? '
Sewage Permit Otte/n.4_
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e e certify informatiqn submitted is co t and there are no other structures ocated o,
as hown. /,,,2,
Ow or Agent
Date
this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
• THIS 1S N07 A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
°Wb
/The zone is P.,
Sewage Permit NUmDer Issued Building Permit , C Receipt .4gseued
Remarks
Form 523 Bldg. Code