1979, 06-04 Permit App: N3516 ResidenceIIP
Cilinty of Spokane, WasIgfon
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 arM enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
PPLICANT FILL IN BELOW THIS LINE
Name of Own : ate. lddrd"ss tbone 47.74
L (Y I
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description ofroperty (Give complete description from deed, tax r ceipt, etc
L.. 0 7- IQ
DESCRIPTION OF WORK: New Y Addition
Size of Lot /219 '( /it/ fi
i
t-:
Basement
Full, part, none
StoriesOimensions
Rooms Baths
Hea4. System
Use of Bldg.
Q '2.
Remodel
-r
ic
Moving Bldg. Zone
Sewage Systeme
Fire Zone ''i
Const.
'
i Fr., Colt Br. etc.)
.r 7,,,-.2
-� 7l`)
� rt .)<_-.--"ir'� 7.-( "°� Tp�l Sq. Ftt /� ^ 1 ValuationI 3, 0
Foundation Const :14.--/ , CAA,r Chimney Fireplace--
(Kind /f (Number,,
Ext. Finish, Int. Wall Firli`sh s� f '
No. of Units _ Bedroo
1
Draw sketch with dimensions shoing: (1)
proposed buildings; (4) distance tCb' property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
41
RESIDENTI L — COMMERCIAL
SOUTH
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
/6/7 /fat&
I here
t certify info tion su itted is correct and there are no othlr structures located on this property except
as sho n'' * }
Owner or Ag nt/ Date
A LAND USE OR STRUCTURE PERMIT MUST SE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
i3-, at "Y:�'.` j'v. ,.l���
ib
t71Q
Your street address will be / '`'✓/. � � � �dLc-,'" 3 �_ �e zone is J.J.
Sewage Permit Number Issued Building Permi Receiptil:) '/ Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code