1976, 05-10 Permit App: L4041 MHCtY P of Spokane. Washlgton
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 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 BELOW THIS LIN
Name of Owner Jl� r '5 Address
Architect i Address
Engineer Address
Contractor Address
fart
Le Description of Property (Give complete description �om�� , tax
- '/ 47 ----//]y„,'' /4 �)Apirmrar 111.4 ;,2 0
DESCRIPTION OF WORK: New Addition
Size of Lot r� c . 65/ Iv,')
Stories __/___ /d--)4"-
Remodel
rezell etc I
l
Rooms 1 Baths / Basement
(Fu(I, part, none)
Heat. System ' Type of Roofing
Use of Bldg.
Foundation Const
a�
Phone 440 T -3-c/)6
Phone
Phone
Phone
Moving
Sewage System
/ V �
w
BIds . 7 Zone Fire Zone
ii
's,so
(Fr.sCbfnc., Br., etc() .
Valuatio
�y Total Sq. Ft C )6,
Chimney
Ext. Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Ate
I aO .
NORTH
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units _ Bedrooms .47_1
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines a,d streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby certify information v bmitted is co
s shoe
m
State License No.
Ind. Ins. Acct. No.
REQUID
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rect and there are no other structures locateon th property except
Owner or Agent Date
A LAND USE • STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT W.
ITE BELOW THIS LINE
Your street address will be 2/1 A.0 c�
Sewage Permit Number Issued
Remarks'� J �� � el /. %t.� �..
The zone is (11---1
ilding Permit ,L40(4 1 Receipt Itisued
l rr 3 � 7, r Y
Form 523 Bldg. Code