1977, 04-11 Permit App: M0545 DemolitionCanty of Spokane, Wastiligton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT61-19
GENERAL REQUIREMENTS PERMIT FEE /
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or st cture of any 1
kind or alter any building or structure already erected, or to change a land use. Construction mast conform with theN
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. `v
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 1
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 AHC 1
Name of Owner . ! ' . Address
Architect Address
Engineer Address
Contractor L-5 LC���r%�r1v�• Address
Legal Description of Property/ (Give complete description from deed,
4-,
1-2S5
DESCRIPTION OF WORK: New Addition
9075.
celld Ie4y2. . hit
Size of Lot
/V )5/5€
tax receipt,
etc
G ',..,z,, t- .4 Jed
Phone
Phone
Phone
Phpne - 2-77
V2 -4-z77?
Remodel
Moving Bld . Zone / Fireone��
Stories Z Dimensions 3
Sewage System const. ra4 A -
Fr., Conc., Br., etc.)
Total Sq. Ft' 1'476 aluation Aodb o`>.
Rooms Baths Basement Foundation Const. Chimney Fireplace
(Fuji, part, none) (Kind) (Number
Heat. System Ty of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. 4i Ek/5,71,' y reS,d e Pr-C-fZ. - No. of Units_ Bedrooms
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-
ten.-e d water supply lines.
NORTH
OMMERCIAL
SOUTH
State License No.
Inde
Acct. No.
REQUIRED
Plumbing Permit
ns Heating Permit
NSewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify for ti'n submitted is correct and there are no other structures located on this property except
as shown.
K K// 7
Owner or Agen �/ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /r / i � _ ,� / .e zone i — ANY
Sewage Permit Number Issued Building Permit / / Receipt * Issued
Remarks
Form 523 Bldg. Code