1976, 03-08 Permit App: L2932 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT L�/f °�--
GENERAL REQUIREMENTS PERMIT FEE
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
Address 57' 7/7 P,'b ES Phone 9t2rQ^ yZZh
Address Phone
Address Phone
Address /f Phone rI
Name of Owner LOOLGL44N.D //V e.
Architect
Engineer
Contractor
Legal Description of Property (Give complete description from deed; tax receipt etc.; 22.J Zia
/COT / e a o // ye- AsC4ES 7T~ ODD/T/o
rf! a6.o9 PINES
S Posers ", wieksN-
DESCRIPTION OF WORK: New __. Addition
Size of Lot /// x 1023/
Stories er
Dimensions anf X 66
Rooms er Baths Basement f& (L F
Full part none
Remodel - Moving Bld Zone / Fire Zone .
Sewage System .- 0AT/C Const. Fara-m e
Fr., Conc...,,/Br., etc.)
///'rr X '[ // (F . / Total Sq Ft /6 7 qi�e�iN�/�aluation yt.rt 0"
oundation Const C°D L✓CJQtCTTTT�Chimney+c Fireplace
(Kind) (Number
Heat. System
Use of BIdg.
a t Type of Roofing r.-ri/Irn p Ext Finish tO"O b Int Wali Finish Page -JO LL-
g%A No of Units L Bedrooms S
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
to
N
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-
SOUTH
State License No.
ta A3-0/ —9S/o3
Ind. Ins. Acct. No.
REQUIRED JJ
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received —
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informs ion submitted is correct and there .re no other structures loc
as shown.
ed on this property except
er or Agent rate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
0-42,7/4440...0 DO NOT WRITE BELOW THIS LINE
Your street address will be m,� D c/ -cil>Ai+.1_!A'� . Q4
Sewage Permit Number- Issued
The zone is -I
Building Permit a t Receipt /) i? Issued
Remarks
Form 523 Bldg. Code
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