1975, 01-02 Permit App: L2370 Residence4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT cV
GENERAL REQUIREMENTS PERMIT FEE
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 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.
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 Engineerrand/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.
2212.1;32,124"--a-z-02 APPLICANT FILL IN.BELOW/��THIS LINE G�
Name of OwnerAddress ass. Z < cJo4
Phone Phone
` 7SS
Architect Address / Phone
Engineer Address Phone
Contractorti Address [% Phone
LegalDescription ProoffP_ erty (Give co 1�9p ate description
e� ption from deed, tax receipt etc
" 1ir/.['r274ZtJ —/d ZP
,5c 66�LiC.si� I �' /ta.r
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot /44, 0? K /OS', 7? X �lSJt1 X /351.O a- Sewage System 'S'/6, h Lcn k onst. r!'
(Fr., Conc...B/r., etc.)
Stories/_3__Dimensions 02r )( � Total Sq Ft ��a� Valuation
Rooms G Baths `2 Basement/A/0 Foundation Const e�l+_7 `' $ Chimne Fireplace
Full, part, no(Kind) (Number
Heat. Syste�Type of Roofing -Lit. Ext Finish 77- /1 Int Wall Finish A' .e(✓
Use of Bldg. ,e„..X.e- /LL2 . iiii No of Units _ Be rooms --t
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.
tit
-4
NORTH
OMMERCIAL
State License No.
X23-01- /5/3.19
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked --
Plans Returned
Plans Picked Up
Plans Mailed
• SOUTH
I hereby certify informatiop submitted is correct and there are no other structures located on this property except
as shown
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS RMI?.
DO NOT WRITE BELOW THIS LINE
Your street address will be 023 0 9 J. The zone is
Sewage Permit Number Issued Building Permit0( 3,1 0 Receipt
Remarks
sued
Form 523 Bldo. Code