1977, 02-16 Permit App: L6962 Residence1
aunty of Spokane. WaSigton
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 1s required to move an existing building. When a building is moved on a County orcS,tate
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
Name of Owner
Architect Address Phone
Engineer • Address Phone
Contractor i$'-rsx 12 Address
Legal Description of Property
'
IGivg CoLe#tte description
fr deed, tax re
c�1 e�tc
%<L_%Address /o7yr
p /!yb Phone
916-7,7-----916-7,7-----1-7(-3-4(.5
Phone
O' - / .4
/✓ r 26 .1/
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot Isr7- 3 -/N6 - //yo
�o r
Stories�I±I Dimensions ?7 ' c 6 '7.
Rooms Jo_ Baths . Basement1P Foundation Const P,s+�L<
l� ('Full, part, none _
Heat System,'/•' a� Type of Roofing P eat -re- "a Ext. Finish
Moving Bldg. Zone —� Fire Zone-'
Sewage System S 7- onst. �>-r-Y- �-n
7 FFr., Con�cc.,I/l�Br., etc.)
Total Sq Ft /In Valuation)& f/S n 'f
Chimneq-^ 4 Fireplace 2
/
(Kind) )Numbe%�
�.- Int Wall Finisl6; iv- r�+G•�/
No of Units _Bedrooms
x , mis
Use of Bldg. UTA-,rd�„_v. =t -ams a6'�e�. � —
�/ 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
I hereby
as show
y•
lfy infor"•:submitted is correc
A _ 1��: ' WAS
UTH
State i LNo.
C((e//e off
d.A
77. cct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
ner or Agent D; e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. .
NOT A PERMIT.
Your streetaddress will be J h The zone isc-9-/19/a.,
Sewage Permit Number Issued Building Permit „( 494 .4ieceipt.579 Issued
Remarks
DO NOT WRITE BELOW THI
LINE
Form 523 Bldg. Code
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