1977, 03-11 Permit App: L7397 Poolofinfy of Spokane, Was*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT n n 00
GENERAL REQUIREMENTS PERMIT FEE..
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
kind or alter any building or structure already erected, or to change a land use. Construction most 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 iii 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.
APPLICAN FILL IN BELOW THIS LINE
Name of Owner s .11. Cl .iiff Address
Architect Address
Engineer // /� /7 Address
Contractor �,C,•",C (j"�//O ih�i� S Address
4O1 • AW /17e*
Legal Description of Propert{ (Give cofete description from deed, tax receipt, etc.,
•/mt /— S 4.4elet
CO/d F />.F A7M-1-11 -4 S
. / ar' % 15 Ya - n 30 a
DESCRIPTION OF WO New - ✓ Addition Remodel Moving Bldd Zon / Fire Zone 3
Size of Lot O ]C/aO �'.�.e? '- i Sewage System t At Fonst > i;ole/ n'4'
Fr., Conc., Br , etc.)
Stories Dimensions /46.--1)( yl/3� Total Sq Ft a _ Valuation (�1y; �n
Rooms Baths
Basement JL1'L Foundation Const Chimney fireplace Y!_��
uli. part, none' i ` (Kind) (Number'
Type of Roofing • Ext Finish 1�1 n nt Wall Finish ni6•oe` S
Phone
Phone
Phone
Phone
Heat. System Gfrs
Use of Bldg. -- _ �/. - No of Units _Bedrooms
lr...---e-C 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 streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
0
NO _TH
RESIDENTIAL — COMMERCIAL
H
Cori -P94 ' OsouC
I hereby certify information submitted is .rrect and t, -re are
as shown.
State License No.
/lo-// ;oF- ? 4 P1
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
w Heating Permit
in Sewage Permit •
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
her structures loco ed on this property except
3
Agent
A LAND USE OR STRUCTURE
THIS IS NOT A PERMIT.
T MUST BE 0
Date
ISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Tour street address will be Efi(�p�+3 t/ 577 RTheeceipt
zone,
Sewage Permit Number Issued Building Permit ,1 Rece1 t % Issued
Remarks
Form 523 Bldg. Code