1976, 10-28 Permit App: L6138 MHCanty of Spokane, Washtgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
• PERMIT FEE
Ado,
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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 most conform ■ith 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 47235.
SET -RACK 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 hR. .
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. tr
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 toeoforce covenants or dedications.
_ APPLICANT FILL IN BELOW THIS LINE �f
Name of Owner ��hi-eta/ Address 0 /V h'e.S Phone gag -7f / 2,
Architect Address Phone
Engineer AddrePhone
ss
Contractor I'j✓1.L Address --- Phon
` 7 .Legal Description of Property (Give complete description from deed, tax receipt etc I O / .�5l — 0 907
Act 7 R/ t 2 ,Q u v I -e.,4, itis �% �lon
DE ion Remodel MovingSewage System SC -
Bldg. Zone Fr Zo e
S- t_ We -tic
-
SCRIPTION OF WORK: New Addit
Size of Lot
qonst.• •(r+ 4 t k
(Fr., Conc., Br., etc./
Stories LBath ions /� X ,2 v Total Sq Ft - 0 Valuation) t t
Roomer Bath Basement .,i`� Foundation Constei_. r� Chimney 4 ' lace
Fu ,part, none (Kind) ( umb
Heat. System ype of fing Ext Finish : 1 /+ Int Wall Finish =�✓
7. Use of Bldg. NM...0 S -091 - + No of Units, 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 supply lines.
NORTH
N
-1
• RESIDENTIAL - COMMERCIAL
geesLetilL-
Plavo
(2-a04
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as shown.
State License No.
0U./
nd. Ina. Acct. o.
REQUIRED
Plumbing Permit
w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed -
SOUTH
infor. t o su ted is correct and there are no other structures to on is prerty except
Owner or Agent - - Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. - 7
DO NOT WRITE BELOWTHIS/LINES )
.Your street address will be Y V le cJ ca.? p r" -I �i i I7 5-6 The zone is R , ' L �/]
Sewage Permit Number - Issued Building Permit / / Receipt _5S� _.Issued
Remarks ` [ X
Form 523 Bldg. Coda
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