1977, 02-14 Permit App: L6924 MHCanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 'J
GENERAL REQUIREMENTS PERMIT FEE2-/'Q6
PERMIT REQUIRED. A land use, or structure permit is required by County Resolution to erect a building or structure of aril
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 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 Sta)e
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.
1
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
)L'•��a��•--fir
Name of Owner
Architect
Engineer
Contract
Leg �Ienscri pti
fl
of Prop Give complete de
/A
Address
Phone
Address Phone
Address '' t' • S �► _ Phone
Addres- A*Fr-....:[ - r'-' •hone
ri ption , �o deed,- tgx receipt eettte ) `�
DESCRIPTION OF NRK: New Addition
Size of Lot
Remodel
Stories �pimensions / /X . U
Rooms "Baths _ ..9�. Basement k / Foundation Const
J IF art, none .�1 ,.�-7,5E—e-
.
Heat. System 1--0-e. �/ yp of Roofing J4'( i z e_�Ext Finish
Use of Bldg. •"% .a._ .1i J3.a.�,.. - aii /,L. -A ta.-G,
J
Moving BI Zone / Fire Zone
Sewage System onst. %- 4 ..t__�
(Fr., Con, etc.)
ilft%- S•- Ft Valuation Q • O a B' C C
• -t himney (Y Q Fireplace
y (Kind) (Number
Int Wall Finish _e�.
No of Units L Bedrooms 0 --
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.
NORTH RESIDENTIAL COMMERCIAL
m
to
H
I hereby cer
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
formation submitted i.-. torr-ot.-and.there are no other structures located on this property except
1 >A
Owner o Agent
A LAND USE OR STR TORE PERMIT MUST BE ON T PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Z1
Date
CONSTRUCTION COMMENCES.
'Your street address will be
N /%
Seiage Permit Number Issued Building Permit
Remara'.a r
(4) t -+i1
1p�) �,�
The zone is 1 fid?, !"Gf•f�'�
Receipt bid / Issued
Form 523 Bldg. Code
Itl!'""b:,:.e....44r,r..f • • •