1977, 03-04 Permit App: L7286 ResidenceCotnty of Spokane, Wash!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 o
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t.' -
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REflUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of qtly
kind or alter any building or structure already erected, or to change a land use. Construbtion 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 thestructure'abuts a State Highway, clearance must be obtained pertaining to set -back and ing- ress
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.
tile,/ �o APPLICANT FILL IN BELOW THIS LINE J. - ,4t..G-942//0
Name of Owner A �AX Y i N -Q// Address t� / b/ hJ1L�1iYU/1-t Phone 9?it—�.''L- 7
Architect Address Phone
Engineer yy Address Phone
Contractor P(1./.1 4l f t Address ,7 Phone
Legal Description of Property (Give complete description from deed, tax receipt etc )i1'- /) )4/f'Lt% C/St5 '4' -04/33
5.7c ' / 5 //.2,s Ai. / 3 2 '/pp1_0 T / 84-K! P4A,k - _ nira�..,1 C<.c4d
DESCRIPTION OF WORK: •New S! Addition /Remodel Moving Bld . Zoneo-f-�� / Firp-one.
Size of Lot 70 X //' • 3 Sewage System P.�JA.r-('1onst
i IFr., Conc., Br., etc.) ,O
Stories Dimensions .2. sX 3G/ ' // —i- Total Sq Ft 9D() valuation..36 7J ° l
Rooms �T Baths / Basement.—T..t-LL1 _Foundation Const eMd���/ Chimney NA- Fireplace NA
(Full, part, none (Kind) ,(\ (Number d
r�J
Heat. System(f- Qf.���� Type of Roofing l..A%'YG� Ext Finish 7-:-/t/ Int Wall Finish � ��
Use of Bldg. _l a 4A / CL No of Units _ Bedrooms R.
0 PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (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
— COMMERCIAL
SPOKANE COUNTY PLANNING COMMISSION
APPROVF AS NOTED
SOUTH
I her certifyipf rmation submitted is correct and there are no other structures located on this property except
xis
State License No.
OK /)N Fj,c,E
Ind, Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
as shown://
ter
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or Agent
L'`iUR ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCT
Date
A LAND USE OR STRU ION COMMENCES.
THIS 15 NOT A PERMIT.
(, "74friaa DO NOT WRITE BELOW THIS LINE
Tour street address will be g 7/0 2.0
Sewage -Permit Number
Remarks
Issued Building Permit
The zone is e//
Receipt L/S� Issued
Foim 523 Bldg. Code
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