1977, 02-23 Permit App: L7154 ResidenceGinty of Spokane. Wasgton
BUILDING CODES DEPARTMENT N 811 JEFFERSON SPOKANE WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 a .d°
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 ■1th 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 eater 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 -HACK 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
Name of Owneo
Architect Address 7eeerzt,.42, ?e.c 17/i✓ Phone
Engineer Address litC176 Phone . —
Contractor
Address
.,i
Phone j"i •� y g
XVII r•�Z .e' Address
Phone
Legal De cription of Pro arty IGive complet description from deed, tax receipt etc
r � _
15/6 j>t i') k.92 / -t) Al t.d`�re ;?- a4v.
l entif -44)Sim,C4,4/e SV%/e nfL 10;9 5-*
DESCRIPTION O WORK: New Addition
S� of Lot�'X/4S-X7c /<-7411X 4
C74_tX4
Rooms Baths. -/ !-7Basement Foundation Const (ex?)
(Fuil, part,,non
Ext i Int Wall Finis
%� ,J.� (!�% /I No of Units
Remodel
MoSewage ving BWg. Zone / Fire Zone System„'1"'1_x'
Const .
(Fr., Co cam, -Br., etc.)
Total Sq Ft s�� Valuatior�..-r-/�. ,.far�
Chimneyr7-7-c'�•-P F' ..place�i-c:-
(Numb-r
ries imension
Heat. System Type of Roving
Use of Bldg. „ Lye: c�+ .7Ji"P
t! h/ Be
PLOT PLAN
Draw sketch with dimensions showing: (I) property_lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and stre= .imens ions of buildings; (6) location of sewage sys
tem and water supply lines. \ 5--/..S -77 '
RESIDENTIAL—COMMERCIAL State License No.
en 7» ti/C -a 44/
NORTH
I hereby c
as sh
ify in
SOUTH
mitted
is correc and
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures located on this property except
-a
A LAND
THIS IS
Own - .r Agent Date
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION QOMMENCES.
PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be �.4 / 1 ,�; ,,,j l,�' r The zone
Sewage Permit Number Issued Building Perini Y, //j Receipt,s9d/ Iued
Remarks
Form 523 Bldg: Code