1975, 09-03 Permit App: L1398 MHCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE..Y0- O O
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 ingres
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must r
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.
1 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.
�/,.tee n '. ]AAP.PLLIICCANT FILL IN BELOW THIS UNE
Name of Ownerlitt24_t+�t_ , .LiG[=4---, Address Phone
Architect AddressPhone
Engineer — Address CrPhone
Contractor/— �L�e..�G/R.� Addres 3 �R/� - -' - �P, one
Leg escript'on f Pro ty (Give complete rI ion from deed, tax rec pt etc) �i` ...
rt— e
DESCRIPTION OF W K: New ' " Addition
Size of Lot /Q r
1
IL
Stories Dimensions
Rooms Baths Basement
Full, part, none
Heat. System Type `_eff Roofing
Use of Bldg. . ' / a -o l.CC..-
Remodel
D
Moving Bld Zone Fire Zone
Sewage
System r., etc.)
CCForn.stCono
taM- ralerit 72 valuatio aGIO
a
dx 6i‘
Foundation Const imney Af° Fireplace ,60
q,-01 ((ind) D� (Nu�m[y��r
xt Fini 11 /"�'�`�`' Int Wall Finish /"�---`�
No of Units l Bedrooms _ fi•—:
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-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
m
a
N
-1
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify nformation submit d is correct and there are no other structures located on this property except
as shown. 4 /; 57 ? -
Owner r Agent r Date 7� �
A LAND USE OR STRUCTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
am. -^/iii)
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
iRemarks
j S�9 o f g _A-te ,0
Issued Building Permit
The zone
COMMENCES.
Ss lh 1!'l `-
Receipt 1 7-7.J Issued 111
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Form 591..R1dn_ Cade •
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