1976, 05-10 Permit App: L3726 ResidenceCanty of Spokane, Was"ton
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 kn7
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owne=%-Amiss =- '0"_ Address .7� ' t
A slaitect �t - :tc Lit C'? -"7 • - Address ,.Z-/ 0 / Phone:? 3 / '"-3.•21"/
Engineer Address Phone
Contractor
Address Phone
Legal escriptioln of Property J� vcomplete description from d re:/'-5/Yr
! '-5 /f
DESCRIPTION OF WORK: New X Addition
Size,of
toric '• - -
torics Dimensions "‘3C' ,/ C
Remodel
Rooms aths - Basement �� Foundation Const
Er Full, part, non .—y _,
eFf at. Sy tem Typ9 of Roofing Ext. Finish / / Int. Wall Finish
Use of Bldg.
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.
Moving Bld c1Zon / Fire Zo
Br., etc.)
a„Total Sq.
Valuation �� JouChimney 79 --
Fire
Sewage System Const
Ft.,/63(
/ Fr., c.,
S
(Number
No. of Units _ Bedr06
m
to
NORTH
RESIDENTIAL! COMMERCIAL
6-2 C'ec-Z. y
SOUTH
State Licen No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit"
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cer f ' information ub ed is correct and there are no other structures located on this property ex-aept
Ss shown.
Owner or A nt
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Bu lding Permit
Remarks // `1 C> l'(1/r =„
DO NOT WRITE BELOW THIS LINE
The zone is
Receipt
ued
Form 523 Bldg. Code
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