1977, 02-14 Permit App: L6931 MHCanty of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE
GENERAL REQUIREMENTS
7.v o
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.
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AP
LICANT FILL 1BJLOW THIS LINE
Name of Owner Chi=t c� ti
Architect
Engineer
Contractor
Legal Descrjption
rr
K..: Address
2
Address
Address
Addresl
Phone
Phone
Phone
3
4J -et 7
- � , 9� ca %
Propertyive comple e descripti,on,fryom deefl, tax receipt, etp
___oma—•
DESCRIPTION OF WORK: New Addition
Stories / Dimensions % V C ` T41 Sq. Ft
Size of Lot
Remodel
Moving BId
Sewage System
Zone Fire Zone
Const.f -n... . =----
1 C'f 0 C' -
Fr., Con.g,, Br., etc.)
J aluation
Rooms Baths Il Basement /'! C Foundation Const mney .Y ' Fireplace(N
part none
Heat. System 1 .�(K' d1Vb
T
.c2 Type of Roofing .�� LExt. Finish Wit_
�-�C
-[ Int. Wall Finish —.-after/
Use of Bldg. No. of Units Bedrooms 24
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.
m
-1
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby ce iffy informatiyn submit, ed is
as shown.
j .,4 - C
O�►�er or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE THE PREMISES BEFORE
THIS IS NOT A PERMIT.
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a
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures
DO NOT WRITE BELOW THIS LINE
Your street address will be A e G/ / � � � ,t �. V. The zone is ✓i' a t
Sewage Permit Number Issued Building Permit Receipt (`-'T'?r' Issued
Remarks
located on this property except
Date
CONSTRUCTION COMMENCES.
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Form 523 Bldg. Code