1977, 02-25 Permit App: L7124 Residencedity of Spokane, Was6egton
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
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor �" �s
Le al Description of Property (Give complete description from de d, tax receipt, etc.)
� 6 ka•
Address
Address
Address
Address
Phone�rf '-'76L-
Phone
Phone
Phone
A5-
DESCRIPTION OF WORK: New L—Addition Remodel
t
Size of ppLot 9 O .X -
Storied -94- Dimensions
Rooms Baths Basement -
Full, part, none
</a
Moving
Sewage System
3 } a D — 5.3
Foundation Const.
Heat. System
Use of Bldg.
i ,moi Type of Roofing
j p ✓ P
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
Bldg. Zone / Fire Zone `-
r Const. F✓ tt `-'-'-‘1.- '
(Fr., Conc., Br., etc.)
Total Sq. Ft /c9`' R�d Valuation c.56✓aao
Chimney Fireplace
(Kind) (Number0
Ext. Finish OG--.7-...2-4-4-
C4z.a Int. Wall Finish
No. of Units _ Bedrooms
PLOT PLAN °"/L-4
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of build' _ , . '.n of sewage sys-
RESIDENTIAL - COMMERCIAL
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1
SOUTH
I. hereby certify information submitted is correct and there
as shojvn
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IN
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State License No.
3—c?/-fR_ /S
Ind. Ins. Acct. No.
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures
ocated on this property except
Owner o Agent Da
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
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Issued Building Permi£ j
The zone is /rte :- ',IA -IL
Receipt 6,( /'() Issued
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