1977, 02-14 Permit App: L6927 MHY.:
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,,,,,_//
GENERAL REQUIREMENTS PERMIT FEE ---- l ....... ----------- ,_.
11ill IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of -any or alter any building or structure already }
ind dy erected, or to change a land use. Construction must conform with the J
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WA;W 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
41
Name of Owner -tire."
Address z -3 c `c_.,ti= Phone
Architect 0
Address Phone
`
Engineer
L t I j i
Address Phone
r
Addres . JJ. .. �, ,... , one
Contractor
Legal Des ripti4Ji,6f-Property (Give co lete escri tion from deed -tax leeipt, tc) -
J Yx5-.51 `-1013
`
Zone
DESCRIPTION OF WORK: New Addition
�?�_/ �,� �
Remodel Moving Bid I,Zone Fire
Size of Lot �/ !i
Sewage System Const.
(Fr., Conc Br., etc.)
Stories Dimensions o
,
Total q. Ft. Valuatio >', ,, illi, Ct C
i
�-- Basement Foundation
�S
Const. *�-' =- `' Chimney �Z— Fireplace
Rooms . Z Baths __ -
FuU, part, none _ (Kind) (Number,
�r
Heat. System Z . C�fi T pe of Roofing
�� '� _ Ext. Finish,_)`'4`1C' Int. Wal l Finish
Use of Bldg.
No. of Units 4 Bedrooms �-
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 sunnlv lines.
NORTH
j hereby etify informati
shown. ei/
M
a
N
SOUTH
submitted is correct and there are no other s
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cture loco ted on this property except
(/Owner or Agent / Date /
A LAND USE OR STRUCTURE PERMIT(UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. '
DO NOT WRITE BELOW THIS LINE
Your street address will be -�� %Z�' Y��n ,� The zone is-�-R
Sewage Permit Number Issued Bui ng Permit Receipt -,5_731 Issued
Remarks .i '
Form 523 Bldg. Code
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