1976, 11-03 Permit App: L6074 ResidenceCanty of Spokane. Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
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 9,7a06
Name of Owner - ` ' Address Q/ 9,'5' 'e=S Phone /est-zes3
Architect Address Phone _
Address Phone
Address _,Phone
LeigRODescription of Pr rty (Give complete des 'ption rom deed, tax re eipt etc I 0 5 `f�/� �Jo 7
A-1-, ,4, .P /� s - . �
7°'
Engineer
Contractor
S arm e-
•
-
DESCRIPTION OF WORK: New Addition
Size of Lot
Storie
Rooms Baths Basement - foundat
Fu >!'/ 1, Part, non )A /5
Heat. Systems r _ype . Roofing 1; _ Finish
Use of Bldg
orf, f -X4/4'
Remodel
L J
Dimensions X r7, a q,
•
ion Const.
Moving Bldg. Zone / Fire Zoe 3
Sewage System 5 74 Const.
//��11��11 (Fr., Co ., et .) pC
Total Sq. Ft�LL Valuation 0 U
Chimney ( Fireplace
.l.�.42(Ki dl (Number
ntWal Fi sh
•—•etels
trd-r o of Units Bedrooms!!3'
PLOT PLAN
•�
Draw sketch with dimension 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.
RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
tans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer r ed is correct and there are no other structures located on this property except
er or gent 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
Tour street address w111 be
Sewage Permit Number
Remarks
gtaaa�
Issued Building Permitc40 7•
4L
The zone is
Receipt
sued
Form 523 Bldg. Code