1975, 06-20 Permit App: L0577 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT _
GENERAL REQUIREMENTS PERMIT FEE .311
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 onwater connections disturbs
the-S'Brface, 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.
d-0
Name of Owne
Architect
Engineer
Contractor
APPLICANT FILL IN BEL.W THIS LINE
Address
Address
Address
Address
Le ascription of Propert (G,}'ve complete descriptioonnjfroom deeed.d./tax : eipt etc) •.�S a
ci___ �� — S(; r /`tea' (,L
I
Phone
Phone
Phone
Phone
DESCRIPTION OF WORK: NewAddition Remodel
Size of L t tnt / 3 � r
Storie Dime y �/ mensi ns 3 i $ 2J' eta,.,
/ l •n
Rooms Baths/Basemen
city, (Full, part, no
Heat. System 11 Type of Roofing /
Use of Bldg. 7 .d
is-' `t.D qc w A/L
r g -
Moving Bldg. Zone / Fire Zphe
Sewage Sy tem5P' -a
/OAJQ al Sq Ft /�S
undation Const. t ('V_. ' A-t-� Chimney
Ext Finish 1-- 1/1
PLOT PLAN
(Kind)
Int Wall Finish
No of Units
ConCst. a<
IFr., o ., etc.) 6
Fireplace
(Nu_ mbar o
f*-
Bedrooms G
Val uat n
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-
nd water supply lines.
NORTH
reby certify
SOUTH
submitte
1
Ts
N
y
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
Owner or Agent - pate
A LAND U OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
(94A 2.14410: DO PT WRITE LOW (/
Your street address will be 9 (J� (fYi�-'fp1 The zone is
Sewage Permit Number Issued J Building PermitEV Receipt Issued
Remarks �. .
HIS LINE
'4
Form 523 Bldg. Code
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1�'7. SUBFLOORING: (Describe underflooring for special floors under item 21.)
iFill under slab: material ' thickness •' Additional information-
es
nformation-