1977, 01-26 Permit App: L6820 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201'
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 416°—
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 obtainp,ci_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 w k 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. Wheel a building is moved on a Coun y 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 eyforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Ownb(r �0' _ Address S. 7/7 r' . r Phone ,4 T Z
Architect Address Phone
Engineer Address Phone
Contractor d Address Phone
Legal Description of Property (Give complete escri tion fro deed, tax receipt etc.)
aC4.# G� ,Q.Mk_ � f frd,..t as . -7 a el Sy 3 - . 9.0 C.
•
DESCRIPTION OF WORK: News- 7. Addition
Size of Lot `���`Q�1�,'�'Q����-+,G�
Stories Dimensions .TL1x2,4 r + 2J°
Rooms J,..Baths �"�, Basement
cart, none
Type of
Remodel Moving Bld
Sewage System
.1414. 42%t)e .iii t To I Sq Ft
Foundation Const. .*-zletj
/J Chi
Ext Finish
(`""/PPP
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
LOT PLAN
property lines; (2) street or road locat
lines and streets; (5) dimensions of buil
RESIDENTIAL - COMMERCIAL
SOUTH
9.
FireZone
oust.
Fr., Conc., Br., etc.)
Valuation tif?j 1%
mney iriepl
ace
Int Finish(Kind) (Number
W
ll
No of Unisei,„Bedrooms
ions; (3) location of existing and
dings; (6) location of sewage sys-
L
State License No.
F.:43211PS'-333—a
Ind. Ins. Acct. No.
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
4
Plans Returned
Plans Picked Up
Plans Mailed
-
I hereby certify informatigm'j4ibmitted is correct and there are no other structures located on this property except
as shown.
-
Owner or Agent /-a2-6) r-77
Date 2-77Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
�yti J7�Qtri DO NOT WRITE BELOW THIS LINE
Your street addrNss will be i/Tj, a A./ W s -c
Sewage Permit Number Issued Building Per
Remarks
The zone is .5fe
6 g Receipt Issued
Form 523 Bldg. Code
1
f'A/e.Ei_ Flo. ,5)64,0 90