1976, 01-14 Permit App: L2442 ResidenceCfnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._s
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. -Ater 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 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.
Q ,� j1 APPLICANT FILL IN BELOW THIS LINE �G)o/b /� �7
Name of Owner C (� - '0 � �' Address /QC 8C < t' Phone J a/ /
Architect
Address
Address
Address
Engineer
Contractor
Lega escrip y (Givec
tit a,
tion of Pro ert
AP
Phone
//�� Phone
f Q. /SCX 4/6, O""'"' "CPhone
Mete description from deed, tax receit, etc.)
996/0
4,7:1 kwAd
DESCRIPTION OF WORK: New
Size of Lot )(f0 / X f /i
Stories ___LDimensions 21)( '
RoomsBaths / Basement
(F II part, none
Heat. System Type of Roofing
Use of Bldg.
Addition
Remodel
/9
Foundation Const
Moving
Sewage System
i
Bld
Zo
Fire Z ne 3-
onst.
Fr., Conc., Br., etc.) _iv
Total Sq Ft Valuation
Chimney
Ki d
Int. Wall Finish
No. of Units _ Bedr
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) to :tion of sewage
tem and water supply lines.
m
NORTH
RESIDENTIAL COMMERCIAL
SOUTH
I hereby certify inf oration submitted
,as h �'. 9-4
is correct and there
m
1
State License No.
3 -0/—//32
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
7f,
are no other structures located on this property except
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