1977, 02-18 Permit App: L7216 MHCitify of Spokane, Washitgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -
GENERAL REQUIREMENTS PERMIT FEE/'�� C�
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 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 Owner
Architect
Engineer
Contractor Affigg•
ific-- rL-t-Li"-- ' Address Phone
Address Phone
• Address ? G ' Phone
Address " 3 .�� �.c -‘ 4i.- `• . e
c �.-y
LeDescription
ropeFyy (Give complete de
riptiob from deeds tax receipt, etc
t
1
DESCRIPTION Of 1ewG ' Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot / 7'5 • Sewage System_y- ,f= '-< onst. %"/C't-�`-OL -.
I ✓ (Fr., Con Br., etc.)
1 G ii b C' F ,7/ `'CS 'Q" (_? 0 0'. G� t�
Stories Dimensions � •t�l S•. t Va►uatioF
Rooms 74/ Baths Basement Foundation Cons ="'4-3....- --" chimney 1 yr Fireplace
Heat. System
Use of Bldg.
� Fel), part, none _ _ / Kind) d..,� �
pp f Roofing —31'14_-G e(. Ext. Finish — - Int. Wall Finish
c Q)
�� G ' •?�=-��' .� No. of Units/Bedrooms ->'...
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
n t
N
1
NORTH
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
I hereby certify informat'o
as shown.
•
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
• Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submit ed is correct and there are no other structures located on this property excep
7 7
Date
A LAND USE OR ST UCTURE PERMIT MUST BE( • N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ower or Agent
DO NOT WRITE BELOW THIS LINE
Tour street address will be
/77 7 '1rL44.1..,�
Sewage Permit Number Issued BuildiPermt`t,�/
Remarks
i
r
The zone is / 4 A'� b.`X"-t--
Receipt6-g 6 Issued
Form 523 Bldg. Code
M a n► -�-- t\N t.
i. /flo7 410/v-/-7oME)