1976, 05-13 Permit App: L3809 AdditionC„
qty of Spokane, Waa Yyngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /6
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 Coutity 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. There 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.
APPLICANT FILL IN BE}O111f THIS LINE
r
Name of Owner
Architect
Engineer
Contractor
•rx�J't,
�%c.��•s-.-4-� Address --1 7i-2- % 7
•
Phone 30` ?
Address Phone
Address Phone
Address Phone
Legal Description
ofProperty,(Give co t� description from ee tax receipt etc )
- V v 1 r — A/e-G� ct 8-1
DESCRIPTION (T.F..�IIRK: New - Addition Remodel Moving Bldg. Zone f Fire ne
Size of Lot / f /` 1 SZ Sewage System �fJ (F�nsC c., Br., etc.)
Stories�Dimensions a-0 k i 4 ✓ .Total Sq Ft L/ (Valuation - d�
Rooms Baths Basement Foundation Const ��l�E'�i-C�j7 Chimney Fireplace
Full, part, none) (Kind) (Number
Heat. System Type of Roofing Ext Finish Int Wall Finish
Use o�ldg. [%[�� �.0 ,�'..-�t- -.t-se e e•.7 -c No of Units _ Bedrooms
3 z -C)
Draw sketch with dimdbsions showing: (1) t{rloperty 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.
PLOT PLAN
I NORTH
RESIDENTIAL - COMMERCIAL
t0UtH A Cete,t
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structureslamed on this property except
as shown. �1/
ner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. "
DO NOT WRI 1BELOW THIS _NE
The zone is
Receipt Issued
fro
,Your street address will be
Sewage Permit Number
Remarks
3
Form 523 Bldg. Code