1976, 01-28 Permit App: L2496 ResidenceCity of Spokane, Washlgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEEL -1-1-'"--5.11
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.
NATER. 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner / 12/ 2 (/ /,./ / AJ /- Address ill T 5 &') X/ 3/1 Phone »---/-
Architect Address f --/,e/1 '1 t,-/ 4rt 2 474 Phone
Engineer Address 5 s J5— - Phone
Pi
.ne
i
Contractor Address
Legal Descripti of Pro rt (Give comp a descripti fro eedr receipt, etc/
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot //( 1/ / G //
Stories Dimensions s X G3
Rooms— Baths -2 Basement / K /1 Foundation Const
(Full, part, none)
Type of R
Heat. System
Use of Bldg.
Moving Bldg. Zone / Fire Zone
Sewage System-S-<j� r/ onst. %'i/ /7 "/
(Fr.. Conc., Br., etc.)
Total Sq Valuation ` 7
('7? r Tc Chimney /' // Fireplace -
(Kind) (Number
Int. Wall Finish t iy k , //
No. of Units 1. Bedrooms --"
Draw sketch with •imensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
to
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIA — COMMERCIAL
SOUTH
I hereby certify information submitted i
%//�
as shown. �
r or Agent
A LAND USE QR -STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A"PERMIT.
correct and there are
State License No.
1. '? - / /7/7%3'
Ind. Ins. Acct. No.
s �-7 2
REQUIRED
Plumbing Permit
• Heating Permit // %� •- ��'�z /_
Is
• Sewage Permit �' /> ' i/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
O 'kkfr DO NO WRITE BELOW THIS LI
/
Your street address will be 43/7 �IJ J
LC'
Sewage Permit Number Issued
Date
CONSTRUCTION COMMENCES.
Building Permit
e zone is
Receipt
Remarks
Form 523 Bldg. Code
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