1976, 11-01 Permit App: L6617 MHCinty of Spokane, Wan
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 provisl'ons 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 _Eti.._.2/,, _ Address __ to —rr 911-0 Phone 1%a - 5'.2 lJ
Architect Address
rn
Phone
F.agineer Address Phone
)'lontractorAddress L Phone '
'.Toga! Description of Property (Give complete description from deed, tax,receipt etc ) r2c-1-raf / 7ti 6' - a/Oc
j`11 5 P-oi a -- .6�,q t Q�.�I #9-otA ,9-i./ -- a 5 -a, aO �/
DESCRIPTION OF WORK: New /— Addition
Size of Lot (Z/[/%,�/ 7
Storieslyn- Dimensions &4J .6/ r..
Rooms "J BathsFull, part none) ' Fo
Heat. System Type of Roofing
Use of Bldg. "'L D 940s..9 ti,
Remodel
Moving Bldg. Zone ___/__— Fire Zone .-
Sewage System X i S Const. h -u'^'r
(Fr., Conc.,,,ppBr., etc.)
Total Sq Ft I!3 a, / Valuation /9714 Cad
ChimneyTit- n.1,-.
(i„ind) Fireplace(tuber
Int Wall Finish✓lf,`fealli-0
No of Units _Bedrooms
undation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
1
Ext Finish
6f-s�
/3 0-,
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-
RESIDENTIAL - COMMERCIAL
SOUTH
I ner by ify informationisub ted is
as shown. rs f�fj�
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rrr Heating Permit
Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structure;ated on this property except
Ii
/ G
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BEL •W THIS LINE
Your street address will be �_, - 0. a.
Sewage Permit Number Issued _
Remarks COT %9 ? '74, �-
-} The zone is i..../.
Build ng Permit (,4/7 Receipt ssued
nate
Form 523 Bldg. Code