1976, 10-28 Permit App: L6014 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
7 ,)
APPLICATION FOR LAND USE OR STRUCTURE PERMIT JP/
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.
NATER. 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.
PPLICANT FILL IN BELOW THIS LINE
Name of Owne 1—�--�-- � — � 'd//77dress ) ° Phone 1 `—
Architect Phone i �,�gineer
2 Phone
Address / Phone
Contractor
Legal Description of Prop rt (Give comple e description from deed, x re eipt, etc.)
DESCRIPTION OF WORK: New
Size of L t / e G) I JI7
Const. D mension/
(Fra , concrete, brick, etc.)
Rooms Baths 'Y Basement
(Full, part, one)
Heat. System jyr. z i -Y Type c4 Roofing
Use of Bldg. (t-4- -�
Garage or Carport Attached !X.
Draw sketch with dimensions showing: (1) property lines; (2) street or road 10 at ions; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions ofb, ildings; (6) location of sewage sys-
tem and water supply lines.
Addition
Remodel
Moving
Bldg. Zone f
Sewage System
'2- —')- — Total Sq. Ft.
Foundation Const e"="'->2.
Ext. Finish
Fire Zone
Stories
y ; Fireplace
(Kind) (Number)
Int. Wall Fi sh -
No. of Units BedrS'.ms
Private Detatched
PLOT PLAN
4 3.5-
-c-
4-
-E-
ra
G
k
ty
4,
2n
i >O
�'
'•
h"v
-$'d T -H Cnl .f
4
(3-.2 5-y7 - 6.3—c= j
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
FII
I certify inforu)gtion sy�mtted is correct and there are no other structures located on this property except
as wn.
2� �a
Owner or
Agent
A LAND USE OR STRUCTURE PERMIT
THIS IS NOT A PERMIT.
6-/ 74' )
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address will be
/,71q.,z6
Sewage Permit Number Issued
uilding Permit
The zone is k L14..eA •_-7.44,(..
Receipt,l k' 7�!Issued
Remarks
Form 523 Bldg. Code