1977, 02-23 Permit App: L7155 ResidenceC!nty of Spokane. Wasagton
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, 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 Owner
Architect
Engineer
Contractor
Legal Description o ,erty (Give complete description from deed, tax receipt, etc.)
Address i : Phone
Address �.Peev f.�'(&iS �,j itJ Phone
Address 7'r1%//i Phone
Phone
Address
zesi..--t
/, a 7-4 — 5 Erc/ E J.L�/�/ E rlrv' 7.571 Mei v y v __ ,,:.rye 9 b/e
?PP 9l/2S/'- ,ec-e'L /ra .r�, 81,5 -4a -7e/1
DESCRIPTION OF WORK: New 1% Addition Remodel Moving Big Zon/ee, / Fire Zon�
Sewage System r � Const. 4.&nz
�J
ry�j (Fr., Conc., Br..,, eettc..))
Total Sq F✓�17 i Valuatioq_fv2.rr
ChimneyLLC2f.t Fire lac
(Kind) ' (Number'.
Int Wall Finis -..--
No of Units/Bedrooms
size of Lot9eeZX /C/S" ( 9.Z)C./IS—
Stories . Dimensions D X-22-4- 12%6
Rooms Baths / Basement :e.eiPFoundation Const
(Full, part, none
pe of Roofing
Heat. System
Use of Bldg.
Ext Finis
LOT PLAN
Draw sketch with dimensions showing: (1) property -fines; (2) street or road locations; (3) location of existing and
proposed bui dings; (4) distance to property line :nd streets; '(5) dimensions of buildings; (6)rlocation of sewage sys-
tem and wate supply lines.
RESIDENTIAL,L COMMERCIAL
/s 7
State License No.
Ind. Ins. Acct. No.
REQUIRED /////
Plumbing Permit '4'¢/✓/G'/�
rw Heating Permit �%Z�: t-C��/��
N'Sewage Permit l�C r'L�/C�+�✓
I hereb
as shown.
nformat
SOUTH
s bmitted is correct and
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Owner or :en Date
A LAND USE OR STRUCT PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I' ' •TA PERMIT.
DO NOT WRITE B OW THIS LINE
Your street adrress will be
Sewage Permit Number
Issued
The zone, _..�
Building Permit , Receipt i I: ed
Remarks
Form 523 Bldg. Code