1976, 10-12 Permit App: L5815 ResidenceQ
fao.mty of Spokane, Wash ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ',,ll(/ ->'1
GENERAL REQUIREMENTS PERMIT FEE
'a
• ERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure any
kind or alter any building or structure already erected, or to change a land use. Construction must conform witk 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.
1, APPLICANT FILL IN BELOW THIS LINE �1c. 4", ' ct- 9 o t,
Name of OwnerlSet IC I-.-7 r, d — ttJQi I / h Address (1 O,�03 1 .� � Phone 12 *— 30 Z
Architect Address Phone
Engineer Address Phone
Contractor S/li.„-n - Address SA rix F Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) JQ%/ft& 2 Juz -/%6-4
L- o A- 2 a Ai( ?ea T O7 t o
'Block 1 UAtte, Use w
DESCRIPTION OF WORK: New-4(
Moving Bldg. Zone Fire Zone
Size.of Lot 1'2 5 - 1 gel
Addition
Remodel
Stories Dimensions Le %
1
Sewage Syste onst. Pt?
F C
(„ — 2 4i X :1 G. To
Rooms =Baths / Basement . .t[ -d(". Foundation Const' �Md,n .d Chimnnv ` ��� Fir place
/�
(Full,
/ c',,, ;✓ r., one., Br., etc oa
tel Sq Ft V ion 3 � Da
part, none (Kind) lNu er
Heat. System ?Y ``.�3,� R Type, T Roofing (T Pi/ Ext Finish71 Int Wall Finish ��, er
Use of Bldg. ,Oe t,d2-' ,.a. i! -(.fp 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-
tem and water supply lines. •
NORTH RESIDENTIAL -COMMERCIAL
S'5
SOUTH
REQUIRED
Plumbing Permit
▪ Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I c hereby r ify 1` rmation s,tbmitted is correct and there are no other structures located on this property except
as shown. ,11 ! I
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMMMJIENES.
This, j NOT A PERMIT.
Your street address will be
DO NOT WRITE BELOW THIS LINE
,4 411,44
,The zone is 2 .7t• tes
Sewage Permit NumberIssued Building Permit r.i�' �C/S Receipt-[ Issued
Remarks
Form 523 Bldg. Code
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