1976, 09-15 Permit App: L5430 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .k?
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
Name of Owner Address
Architect Address
Engineerpp Address
Contractor SYJ.rl,vr4 P . Address
..1 . .
Legal Description of Property (Give complete description from
r
deed, tax receipt, etc 1
Phone
Phone
Phone
Phone
DESCRIPTION OF WORK: New _ )S,— Addition Remodel
Size of Lot $dX/417.,
Stories,,,& Dimensions 021-1.V
Rooms Baths / BasementFoundation Const
Full, part, none
Type jff Roofing Ext. Finish 7 - 1/)
Moving
Sewage System
Bldg. Zone Fir one
.r'C.
const.7�f
(Fr., Conc., Br., etc.), O'
Total Sq. Ft j(-5-841 Valuation 561 06---
Chimney
DSChimney "I A- Fireplace /1/1
(Kind) (Wber
Int. Wall Finish iii
No. of Units_ Bedrooms
Heat. System
Use of Bldg.
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
SIDENTIAL COMMERCIAL
I here
as shown.
SOUTH
m
To
State License No.
/'i O A/ F/J
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
information ; 0 'd is correct a ere are no other structures located on this property except
4-7' (ii
86
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