1976, 03-08 Permit App: L2928 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 it
G
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /7/6 X
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
Name of Owner 40atrcnSb I - Address 5 ' 7/7 P/s/ES Phone
Address Phone
Address Phone
Address= Phone
Architect
Engineer
Contractor 6 f
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
L 0 r AO, 82.k. // siicce,ecsr Acts 7T4 C
sa 44./s-tAIES 22D. sPoiC 04 Ale a05#l.
C'i3- Qat e
DESCRIPTION OF WORK: New X Addition
Psi XI(14 31'
Size of Lotem orie--
Remodel MovingSewage Syst
•
Stories Dimensions b'i(.2yr.,`/"q i' �i /
Rooms Baths Basement %pia Foundation Const. ���Er
(FFulll �w "w0/2.‘910/4L
�l
Heat. System ANQA • Type of Roofing _Com P Ext Finish w00 7 Int Wall Finish 0 /2q 9to %9'L L.
Use of Bldg. R eS DD W reap L No of Units 1 Bedrooms
Bldg. Zone / Fire Zone
Fr.. Conc., Br., etc.)
Total Sq Ft /776 Valuation 2,2751:1-0
D e Chimney//2444 Fireplace
, part, none (Kind) (Numbs
sk:221,t A..V.0 Li PLOT PLAN
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
property lines; (2) street or road locations; (3) location of existing and
NORTH
amy-aize0
SOUTH
I hereby certify information submitted is correct and
as shown
there are
no nth
r
State License No.
a7>. 3 -o/ _9903
Ind. Ins. Acct. No.
REQUIRED TQ
Plumbing Permit ••�� �Ma
Heating Permit rT `E" • ' I
Sewage Permit Lai AL_R eiZ
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Owner or Agent U , V Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
644 ,-7/1/to G i
Your street address will be �r % /S /j .�/jiJ QAQ, E4 - The zone is�.f ^•r//.�/�� 1 -��,
Sewage Permit Number Issued Building Permit Y Receipt /)6'/ k Issued
Remarks
PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
A