1976, 01-26 Permit App: L2511 ResidenceChnfy of Spokane. Wasligfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / e_
GENERAL REQUIREMENTS PERMIT FEE Ca
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 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.
PPLI NT FILL IN BELOW THIS LINE
9/72/2'942W/
Name of Owner d►% // Iv /� i ddress � /Y�y:C/V Phone 3.44. 93
Architect Address Phone
Engineer Address Phone
Contractor __"7177
Address
Legal Description of Property (G. a complete description from deed, tax receipt, etc ►
�4 L- *kX4
Phone - '�
x<-2.�!>
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 32-3-2Z- ` 1t Q8 '7 3.0/ '--.2d1*3
S- t.v.u0 7/. 0 x
Stories*_ Dimensions
Rooms_ Baths 2 Basement XL
(Full, part, none)
LIpL 1•441(t- Type of Roofin
a.4, .5-,0,--,7/.�
Moving Bldg. Zone _/ Fire Zone -
Sewage System SPf'/i(s Const. JI
-7(Fr., Conc., Br., etc.)
Total Sq. Ft 41270 2- Valuation
L�or7c:K-7Q-T Chimney‘fiev Fireplace
(Kind) (Number
ish !Ai/04i `F "'IL4t ' Int. Wall Finish i cc)u
Y` 4-1 No. of Units 1 Bedrooms 4
Heat. System
Use of Bldg.
Foundation
Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
Ext
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTI COMMERCIAL
State License No.
2AZ — 0/- /199/
Ind. Ins. Acct
-7,
REQUIRED
Plumbing Permit
nr Heating Permit
a
4/1Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her tify information submit "d is correct and there are no other structures located on this property except
as sh
Owner or Agent Date
A LAND USE OR STRUCTURE P IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE
ELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt
ssued
Form 523 Bldg. Code