1975, 05-18 Permit App: L0173 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE u
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
pert.med in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVI1G OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or Mate
Higeray, 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 alnt,
Name of Owner �� c ^�— Address ��0t � • Phone �C •� �Ifie{
Architect v Address Phone
Engineer Address Phone
Contractor Address Phone
Legal De cription of Property (Give com e e description from deed, tax receip c
iJ i el /.0 16 kVIQ.tN O., ere &b ,_�a-ce_._e Zfyvv_/607
DESCRIPTION OOFF'WO :: New (Addition Remodel
Size of Lot .7
Stories ,l^ Dimensions n
Rooms ,S —Baths i Basement Uk�. Foundation Const S
r'� /, (Full,1part, none)
Heat. System `e•/ Sc t1 Ipe of Roofing
Use of Bldg. ! �c5) i\e.-t t
Moving
Bldg./ FireJone
cost �"a
J( 1�D CC 'tom..@
( ) /p (Fr., Conc., Br., etc.)
)J .XtJ1 \ Total Sq Ft Valuation Z9jSo-1
�'r .ts Y CCQ'C Chimney6+v't < Fireplac
.Y fl/O
Sewage System
(Kind)
a --Ext Finish �wi CA sl '" int Wall Finish % S
No of Units l Bedrooms
PLOT PLAN" 4
Draw sketch with dimensions showing: (1) property lines; (2) street/o,r/road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dime] Bions of buildings; (6) location of sewage sys-
tem and water supply lines. l
NORTH
• SOUTH
I her -'y certif- info mated is correct and there are no
as show
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit5't&s.
NSewage Permit( 'tixvh.\
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cturelipcated on this property except
or Agent \ Da!(e
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A LAND USE OR STRU
THIS•IS,NOT A PERMIT.
UN ht47
Your street address will be )../i9/.7.3
Sewage Permit Number Issued Building Permit H/ p /7j Receipt 77
Remarks
DO NOT W BELOW TH LINE
The zone is
ued
Form 523 8 Idg. Code
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