1975, 08-08 Permit App: L1099 Residence• f •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 9920
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,bullding 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 47235.
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.
9, 2-0 M,
Name of Owner - _ Address 6 ? Phone/ -6c9
Architect Address Phone
Engineer Address Phone
Phone
APPLICANT FILL IN BELOW THIS LINE
Contractor Address
Leg Description of Pzcoeplete from,cjeedA tax �e1
/� f , �f�y
Tir
- )Z
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. -one J Fire Zone J
Size of Lot Ai Ox 2 3'X ,� :2•0 X S O H. y Sewage System v Ct.
- �,� onc., Br., etc.)
Stories Drm`en� s 3G' �i U Z'z�'" —""-'` Total Sq. Ft/4/fes Valuation 22i -r6) U
RBaths psnt Foundation Const. -�' �� Chimney Fireplace
I, art,
none) (Kind) (Number
Heat mA. Type of Roof in ExtZsh Wall Finish
9 No of Units _ Bedroo 5 3
Use of Bldg.
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations. ) location of exi _ and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildi :s; (6) location of sewag
tem and water supply lines.
NORTH
StateLido.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
to Heating Permit
tn Sewage Permit
SOUTH
I hbyFertify information submitted is correct and there are no other structures located on this property except
as shown. J(
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Remarks
Building Permit 70t1 one is�
r
Issued
p")
V' 4 Q)
Owner- of gent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9 .7 4,(440 DO NOT Wo TE BELOW THIS LINE
Date
Your street address will be
Sewage Permit Number
Form 523 Bldg. Code