1975, 05-18 Permit App: L0176 ResidenceCounty of Spokane, Washington - --
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201.
•
APPLICATION FOR LAND USE OR STRUCTURE PERMIT c
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 most 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 thestructure 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 gist 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 Mate
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
A4CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
Rl•116TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
with 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 �.._ _ L Address
Architect Address
Engineer Address
Contractor Address
Phone
Phone
Phone
Phone
sa
Legal Description of Property (Give complete description from deed, tax rektefia�
,et
LA—S IBM ILS S k%J i cure s C.i& M.N-ho•—
1 00 S st .cti . QU,,r"- 9 cc,4- t.? - 2 k S `f 5(— 6 O S—
DESCRIPTION OF WORK New J /addition
Size of Lot q.<" X 1 eto
Stories I,. .. Dimensions 4 ',..." f
7v .—.
Rooms Baths f Basement
Heat. System
Use of Bldg.
(Full, part, novel TXpe of RoofingO xt. Finish W04, Sl k
QS\ ..l.h G{
Remodel Moving
Sewage System
�9 ( 0 Total Sq
Foundation Const (•O`I�C.`C i�' C C—
PLOT PLAN
Bldg. Zone ' Fire Zone '3
i c Const. C rttw
Fr., Conc., Br., ettC 1
Fthi c Valuation o
Chimney
Q'(Ki d) Fireplace(N Jer
(l Fin m�
VA Int Wall Finish��j \1�1$in% lel
N of Units J dFooms D
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
tted is correct and there
I h
as show
er or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other strrcturps 1,220.ted on this property except
/il
ate
A LAND USE OR STRU _ RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will
Sewage Permit Number Issued
Remarks
Building Permit/in/37(p
The zone is
Receipt 220-7 Issued
Form 523 Bldg. Code
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