1976, 05-18 Permit App: L3888 ResidenceCanty P of Spokane, Waseq ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/7
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 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.
REJSTRICTIVE 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 Owned�1 G f� i4.t L a( / , r Address, d .� �� x `�/
Phone / —
Architect Address
Phone
Engineer Address Phone
Contractor vv .> Address
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Phone
Q 7 iG `t:_ !j� f :L ;<<=, "7 4 tit. t, t. `�. (� (.(1..
DESCRIPTION OF WORK: New ) Addition
a /
Size of Lot 9--5 X I, L)
Remodel
Storie ' . Dimensions " .� X`,:� 7
`-`' -- Total
Rooms /- Baths f ' Basement fir �' ( Foundation Const
y e Full, part, none }} �.
Heat. System (' _ Type • f Roofing
Use of Bldg.
Moving
Sewage System
BIdg. Zone
mow`+ j
(_.
Fireone
or n. L / l.; i%r�:t
(Fr., C0%.,n
nc., Br., etc.)
Sq. Ft / ei ." ' . ,
Valuation `�`� .f
Chim6e
Y (Kind) r Fireplace •``c,
(N umber,,
Int. Wall Finish i:),-/-1,J.1)i-ILL
No. of Units _ Bedroorfis �5
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
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-
RESIDENTIAL — COMMERCIAL
I hereby certify inf
as shown,7(
°-= 177
in
1
State License No,
`'�, ' ,/ (C'JL
-
Ind, Ins. Acct. No.
PO r u /1
REQUIR
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion submitted is correct and there are no other structures located
L
--. Avnpr nr Aou +
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFOREDate
CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
on this property except
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number
Remarks
be A.73 /: 9w ,{e) —it -4'; alai Y Q/L A -4-‘1.../-i
Issued Building Permit di Receipt U ! In Issued
The zone is uU L,.
Form 523 Blda. Code