1976, 06-21 Permit App: L4420 DeckCnty of Spokane, Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / q
GENERAL REQUIREMENTS PERMIT FEE .(..12
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 most 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 onwater 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.
PPLICANT FILL IN BE THIS L
19'909/6
Name of OwnAddrgs
Architect Address
Engineer ^ Address
Contractor
Legal ascription of P�rorty (Give complete description from d edreceipt etc
1p e )
Address
Phone 'QV 6337
Phone
Phone
Phone
DESCRIPTION OF WORK: New t— ddition Remodel
Size of Lot / Gc2 X R./S -
Stories Dimensio���nssFoundation -
Rooms f/%tBathsni•,f Basement____ _
(Full, part, none
Heat. System Type of Ro ting A/ if. - Ext Finish
Use of Bldg. 4, /JO.ALs.t c.r�
D PLOT PLAN
Moving Bldg. Zone -1__ Fire Zone
Sewage System N- iConst./.2--n-i--
(Fr., CBr., etc)
7 tat Sq. Ft. J 0-0 Valuation re
'- �� �+��/ Chimney Fireplace Linc------..
Ki d) ♦ri� (Number
Int Wall Finish /Y�
No of Units _ Bedrooms
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 RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
Ind. Ina. -Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information sub ted is correct and they are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT i E BELOW .THIS UNE
as shown.
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Penni
The zone is
'Zr Receipt
Issued
Form 523 Bldg. Code