1975, 05-21 Permit App: L0166 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201!
APPLICATION FOR LAND USE OR STRUCTURE PERMIT b ---
GENERAL
GENERAL REQUIREMENTS PERMIT FEE._41
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 rimming with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
Name of Owner
Architect
APPLICANT FILL IN BEL•W THIS LINE
47414
dress �• ' - Phone 72- if ^ 4"ol7
Address Phone
Engineer Address Phone
Contractor Address ` Phone
Leg 1-p escription of PJloper y (Give complete dgssppf%ption from dggd, tax receipt etc) ca
C 7 ' 4/ 1 — —730 c`
DESCRIPTION OF ORK: New
Size of Lot - r� swage System Const
�J/ yA� ` / �/' (Fr., Conc.,
Stories Dimensions 36� 6(, `I— Ur7",q�Q Total Sq Ft �b� Valuation C/(
Rooms Baths Basemen Faun anon Const Chimney Fireplace �--
FulL part, none (Kind) (Number
de?///62,4i45:7�/�Int Wall Finish
No of Units Bedroo s
Addition
v
Remodel Moving BIdg„Zoyge�. ( Fire •ne
Heat. System
Use of Bldg.
Type ofRRooffing
Ext Finish
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road "locatiotfs; (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.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
to License No.
Ino. Ins. Acct. No.
REQUIRF,Q„ (1
Plumbing Permit �Le�—GIa) ° 'ea
m Heating Permit r t.) d---/'.--".
To
• Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c tify in matsubmitted 's correct and there are no other structures located on this property except
as hown. rJ/ ".
® .v�C-4 513-17 j -
fl " Owner or Agent Date
A LAND USE OR STRUCTURE PERMI UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TKIS 1S NOT A PERMIT.
' ,1.'M li 1Y14 Ad10—irA
DO NOT WRITE BELOW THIS _ INE
Your street address will be r L 304 i, . ,i The zone is
i
Sewage Permit Number Issued / Building Perini; ReceiptIssued
Remarks
Form 523 Bldg. Code
4
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