1975, 05-16 Permit App: L0181 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 37
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 rqkgress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work lust be
N
per rmed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. Ir
MOW G OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County o4 State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
P/
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.
� �cc APPLICANT FILL IN BELOW THIS LINE `\ �¢ i 0 t�
Name of OwnerAddress Ct \� I + CJ r3 -r ' - Phone C AS—Z 13 1
Address Phone
Architect
Engineer Address Phone -
Contractor Address Phone
Legal Description of Property_(Give complete description from deed, tax receipt etc I
) _ r,q f \u. 1 la 5 M( v,;Ls..r 6.c,�s2.
1 19 I y � .o. -t---L�. c�z i2�. �e �44_
b G,17
Sewage System onst. Y' Ar: Q_
Fr. onc. I
Stories Dimensions .�%�- %� � - ± Total Sq Ft J_pS h Valuation,P7/ S��
n . Foundation Const i U3N- Me_ 'e-- Chimne �tii l Fire lace
Ftull, part, none llFin IN
Heat. System FType of Roofing xt. Finish h Int Wall Finish
Use of Bldg. %n. t"-' No of Units Bedrooms
DESCRIPTION OF W : New �Addittiiog Remodel MovingBldg— CL Fire Zone
( C . Br., etc.
Rooms Baths 8aseme t Y P do
Size of Lot
etc i
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
. SOUTH
Stted is correct and there are no other st ucture locatd on this property except
0Sta/teL_icense No.
Ind. Ins. Acct. No.
REQUIRED Erna -A-4-23"---
•' _
Plumbing Permit -23"---
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r or Agent D:te
A LAND USE OR STRU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(ty,+,J 00 DO NOT WRITE BELOW .THIS LINE
our street address will be f (% /(7 )) ""`—_ The zone is�+
f�ewage Permit Number Issued Building Permit "snit/ Receipt9 7 1-7Issued
Remarks r
.r
Form 523 bldg. Code
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