1976, 02-24 Permit App: L2713 ResidenceCanty Spokane, of 5 , Wass -9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT;
GENERAL REQUIREMENTS PERMIT FE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
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.
APPL CAN FILL IN BELOW THIS LINE
structure of any
Name of Owner Gress
Architect Address Phone
Engineer Address Phone -
Contractor Address Soh Phone
Phone /7,2357-44 /1
14g3 Descri i of Property (ply complete ;Criptio from d d, x re ipt, etc )
DESCRIPTION OF WORK: New �-- Addition Remodel Moving Bldg. Zo e l Fire Zone
Size of Lot X33:6 ( X 5'7 • Q Y ,204; V x % �• cot Sewage System
r
Storid , Dimensionsal Sq. F
Rooms Baths - - Basement Foundation Const f-t1s'r�` -, Chimne
�j (F11, part, non
Heat. Syste eC Type f Roofing
//��
Use of Bldg. "Ad- p' K- L� l.1 ,
Ext. Finish
Const.
(Fr., Conc., Br., etc.)
Valuation t�
replace
(Kind) (Number
Int. Wall Finish 7.' t.
No. of Units _ Bedro2.s 3
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 RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
49
Ind. Ins. Acct. No.
REQUIRED
Plumbing Perm
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify info tion submitted is correct an her no other structures located on this property except
as shown. info
Owner or Agent(
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON HE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(stir✓���L,�
Tour street address will be Algae Z_ 2Zi
Sewage Permit Number Issued Building Permi
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is S. / 1
Receipt c' .I Issued2 ' 2'4' ?(.
Form 523 Bldg. Code