1977, 02-14 Permit App: L6934 MHCoinIty of Spokane, Washsdgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
10,
GENERAL REQUIREMENTS PERMIT FEE 1Q^6 0
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 inrff.'ess
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work mit 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
p -o <
Name of Owner .'�J " •��- � et. --<-7---"" Address Phone
Architect
Engineer
Contractor
Le Descrip ion •f Prfy (Give omplete
Address Phone
Phone
Address
Addres
from deed. tax receipt
•se.. LLL •Ca P oner,./
_Lnrnn:. e
fir
DESCRIPTION OF WORK: New Addition
7a') /3 S.
Size of Lot
Stories imensions
Remodel
6G'
Moving Bld Zone / Fire e �-
Sewage System Const.
(Fr„ Concur Br., etc.)
�/D ___ �y_(� of I S Ft Valuatia"_Qe)0 (
Rooms 7 Baths Basement 1 Foundation Con t. hi ney Fireplace
Fu , part. none' ind) (Number
Heat. System Ty• • of R/q�ofing011--&;.-Z- Ext Finish //L..'�..a Int Wall Finish er-÷1
Use of Bldg. O" Q®4, ' �-gr..2�.-C.-e-' No of Units /Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed huildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6), location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
wr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce y informs ion submitted is correct and there are no other structures located on this property except
as shown.
n or Agent
A LAND USE OR S UCTURE PERMIT MUST BE • N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks •
4 / / :<-2t,9
42
The zone is v I- o 2V t a
Receipt L5-7:3 / Issued
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