1976, 10-28 Permit App: L6016 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, 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.
APPLI ANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Contractor
Pho
s
gineerer
Address
--711 Phonef - -V/d y
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Phone
Phone
DESCRIPTION OF WORK: New Addition
Size of Lot /0d) ex !1/0 '
/ /
Const r)YNn-till, Dimensions
(Frame, concrete, brick, etc.)
Rooms__ Baths Basement ./ Fou
(Full, part, ne)
Heat. System 14-r-414 Type of Hoofing
Use of Bldg.
Remodel Moving _ Bldg. one Fire Zone
Sewage System 1 i - Stories /
otal Sq. Ft. Valuation 3y 60
/�
Garage or Carport Attached
pFor; /s/
ndation Const. 00-77�.�-.��i
(Kind
Ext Finish Int. Wall Fi
PLOT PLAN
Draw sketch 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 build iggs; (6) location of sewage sys-
tem and water supply lines.
•
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ireplace
(Number)
No of Units ' Bed
Private Detatched
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I hereby
as shown.
—SOU -Tit erlsT
y information su mittcorrect and there are
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST B
THIS IS NOT A PERMIT.
Your street address will be , t%510—
DO
/J
State License No.
9.9-3 -3f .�E-
Ind. Ins. Acct. No.
OK OA( r/L-r
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
/a—aP-71,,
Date
N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
o1 /.(.C-CC.LC,fi e zoneYell
isp
Sewage Permit Number Issued Building PermitoReceipt� O 7a I
Remarks
ssued
Form 523 Bldg. Code