1977, 02-18 Permit App: L7214 MHty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT"
GENERAL REQUIREMENTS PERMIT FEE 9-7° 6
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
e kind or alter any building or structure already erected, or to change a land use. Construction mast 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,
nMOVING 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
Contracto
i$2.1.4l s2y
Legal °scrip i. .f Pr rty (Givg c• plete de
np
Address Phone
Address Phone
Addressdd i IJ •hone
Addrest '34
Ph ne ,�� -2
f
-o
onit deed, tax r eipt.-e
DESCRIPTION OF WORK: New Addition
Size of Lot 7 el ' !�. 1 'Jtr Ill
Stories 1 Dimensions 1 (. , ✓� g 0
Remodel
Moving Bldp Zone Fire Zone
Sewage Cons
(Fr., Conc., Br., etc.)
Sq� Ft
imn(Kind) Valuation 01 o °c' U -
ney d Fireplace
�� (K ben
Int Wall Finish
No of Units /Bedrooms
Roomse. Baths Z Basement Foundation�"'Const.
T, pe of Roofing ' r,V(_,L E t Fin.
, part, none
Heat. System
Use of. Bldg.
O
sh otter
eiZO 61,-A
PLOT PLAN
Draw sketch with dimensions showing: (1) 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. p T�
NORTHGaGt��
(viith,dwee-coAnd
I hereby
Ras shown.
SOUTH
tify information s,bmitted
er or Agent
A LAND USE OR STRUCTURE PERMIT MUS
THIS 1S NOT A PERMIT.
(9,0 7142p CO DO�d
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Your street address will be
Sewage Permit Number
Remarks
Date
BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
OT WRITE BELOW THIS LINE
Issued Building Permit
The zone is, X22( r.Z&i ZoC-
Receipt ,7 ra 6 Issued
\ Form 523 Bldg. Code
i
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