1977, 02-23 Permit App: L7158 ResidenceCanty of Spokane, Wasdigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Sa
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 onwater 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 .0 /? Q Address
Architect Address "ieewe-e-es CUT/ Phone
Engineer Address 5c%Oa Phone
Contractor -Address Phone
Phonej'l-sz) 9
Leggy:escription of P o erty
ive complete description from deep, tax receipt etc.)
Siff/� / SI kir- I4 x/.'
eL/ Ace0 ' / Id7e7 r
DESCRIPTION •F WORK: New ' Addition - Remodel
Siizzzee,of Lot '.117 /y'i-K9-fix( /1Lr
-"' � .% rimensi ns -?4,(3.4! M )0
Moving
Sewage Syste
BJQq. Zone / Fire sone
(Fr., Conc., Br , etc.)
�!`. 6 9
Total Sq • Ft
/7)46
J��>�, Valuation,-/// �e
Chi mney� iS-. Firlacp�&`
(Kind) (Nuumbgr
Int Wall Finish /l`f1B.(�
No of Units L Bedrooms oL
�•r•
Rooms 7 Baths/ Basement�1/,�nl?o Foundation Const %7,.117 -
Fu I, part, none) �.
Heat. System Type of R in xt F is
Use of Bldg. $b1' 9
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed bu ldings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and wet: supply lines.
otate License No.
Co Coi✓e-f f3.0,i/
COMMERCIAL •
Ind. Ins. Acct. No.
REQUIRED
GSL
Plumbing Permit
▪ Heating Permit
N Sewage Permit /c C/i7(,'7 �i'✓
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby jpfel io submitted is correct and there are no other structures located on this property except
Ow rr Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S HOT,A PERMIT.
Date
uta !/ DO NOT WRITE BELOW THIS LINE
Tour street addreswill be
Sewage Permit.Number Issued
Remarks
Building Permit
e z
Receipt
Form 523 Bldg. Coda