1978, 08-17 Permit App: N0252 Residence--Ilev- 0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT —J/Lc�
GENERAL REQUIREMENTS PERMIT FEE .____,l_____l.___✓
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 :row 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 q5;, / 6
Name of Owner AUOreSS rnone a
Architect Address Phone
Engineer Address Phone
Contractor 5/il� Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number
4 b--- /.5- ) A J -3 Ar UTJ'f�_.J En 6LH3 041) n
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 7-q X �7D "X 90/X % ZL Sewage System �onst. 1C�PAM�
� p _ Conc., Br., etc.)
Stories Dimensions X17 Z O Total Sq Ft. Valuation
Rooms Baths �-- Basement ) Foundation Const.. ?� G� Chimney- Fireplace ZVO
Fu I, part, none ( ind) (Number
Heat. System Type of Roofing Lf(.�fi►� Ext. Finish 7-- Int. Wall Finish
Use of Blldpdg. No. of Units Bedrooms
�C�C� ✓�� PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of ex ng nd
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sea a sy -
tem and water supply lines.
j NORTH State L' nse No.
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SOU TH
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I herebycertify informap4ti lsubmitted is correct and there are no other
as shown. 1� 1 ( . 1 .4
Ind. Ifs. Acct. No. I
NTIA — COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
,tures located on this property except
$2Z7�'2,9
Owner or Agent Elate
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
Remarks
Form 523 Bldg. Code
DO NOT WRITE BELOW THIS LINE
Issued Building Permi
The zone is
Receipt sued
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