1976, 11-22 Permit App: L6290 Residence411/
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEV
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 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 =-
NI I.
Name of Owner ti Address
Architect Addres4. f 7 `�
Engineer Address
Contractor Address
Legpescr)ption of Property (f,ive complete description from deed, tax receipt, etc
Phone
Phone
Phone
Pho
8 -1 sL7
DESCRIPTION OF WORK: New V Addition Remodel
Size of Lot n X i `-/
Stories 1Dimension , K X 3 `/ )61e'- -- "�
Rooms (-- Baths Basement 9— Foundation Const
Full, part, none)
Typ97of Roofing
Moving Bldg. Zo_
Sewage System 5 /
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
FPI
.4
Total
Fire Zone
onst.
/ (Fr., Con Br., etc.)
Sq. Ft /5/-E- Valuation
Ext. Finish 7 -/ / /
Chimney (Kind) ireplac l
Int. Wall Finish
No. of Units _ Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH RESIDENTIAL — COMMERCIAL
I here
ashown.
ert ify/j'nfor,t ion
SOUTH
[limited is
correct and
m
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Owner or Agit Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
//
DO NOT WRITE BELOW THIS LINE
Your street address will be c- l
Sewage Permit Number Issued
Remarks
,t2
lding Permit
The zone is
Receipt 74 2 Issued