1976, 11-22 Permit App: L6287 ResidenceCtnty of Spokane, Was ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE. OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE T
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-BACKCFROM 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
1
Name of Owner estimirman.
Address are Ar e z
Architect Address
Engineer Address
Contractor Address
u -7/
Lgfal�Description of Property (Give complete description from deed, tax receipt, etc.)
.7�
Phone
Phone
Phone
y --"Picone %q•-•• c7 -CJ
7
DESCRIPTION OF WORK: New p Addition Remodel Moving Bld Zone Fire Zone
Size Ito ! % �Z ,S Sewage System ons[.
C,/ '
Q �Fr., Co' r., etc.)
Stories Dimensions c/. p 3-1 / ' (0 Total Sq Ft Valuatio O cJ
' ()AI_.,t. 7i
Rooms Baths Basement foundation Const Chimney Fireplace
/I Fu I, part, non (Kind) (Number
Type of oofing C l ./0 Ext Finish 1- — (7( Int. Wall Finish
Heat. System.
U of Bldg. / r No of Units _ Bedrooms 2—
gree
PLLOOT P AN
aw sketch ith dimensions show g: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply
-lli_nnes.
-4
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
Ind. Ins. Adct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert)dAgent
tti s bmi is correct and there are no other structures located on this property except
as shown. �� 9-2-0A
�= r
A LAND USE OR STRUCTURE PERMIT MUST BE ON T
THIS 1S HOT A PERMIT.
Your street address will be "� n
Sewage Permit Number Issued Building Perm11{( 6i W7 Receipt Issued
Remarks
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
T
ONO __ The zone is
Form 523 Bldg. Code