1976, 02-16 Permit App: L6994 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL. REQUIREMENTS PERMIT FEE._. j
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an.Y
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 onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office. !>t
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, oflmt
leasti425' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
/TATE HIGHWAYS. Where thestructure 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 '
Architect Phone
Contractor Sej'soN
Legal Description off rope,Ty (G}
Lot -
Phone X117ve
ddress
_Engineer
Address
Phone A4) -275 3
Phone
Phone
g`pl@t e(dcesC; lDt iqp Som d, tax receipt,
\4 V W 9,
fs +�`-�lfaO
V
etc.)
DESCRIPTIO*.�OJ' WQRK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of L4,
T, 8,X fl7
Const. - Mmensions
(Frame, cPncrete, brae ,etc.)
�O Basem
Rooms Baths
Sewage System S'e WC r Stories \
sa
1_1I Cl. Total Sq. Ft. J *Parr( Valuattdi& 7
Basement 1_- Foundation Const C 6
Chimney/14.0 i Fireplace I
(' F part, none) \� (Kind) (Number)
Heat. System K ISS Type of Roofing Ext Finisli V V 00 VA Int. Wall Finish
Use of Bldg. / �4- ;A e
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No. of Units Bedrooms
Private Dot:dched
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-
I hereby
as shown.
SOUTH
rn
N
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
ormation submitted is correct and there are no other structures located on this property except
A C� a. /.0/?G
Owner for Agent D e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE ONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 2/,%- 16A/ -L -Ci O d The zone �i-spu , ! O-rb�(/'/�-. //
Sewage Permit Number Issued Building Permit d eceipt .1 it / () Issued / [�«j�/
Remarks
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