1976, 03-17 Permit App: L2982 ResidenceCau��ty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMI ��//�
GENERAL REQUIREMENTS PERMIT FEE °(04)
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
',f4/././.4
_ 1 �
Name of Ownei- r'.,r- c .0 6Edress sem; r "' f 1+ urPhone
Architect Phone Engineer Phone
Contractor / Address
9v/k
Legal Description of Property
(Give
"�Pho�.nve
complete description from deed, tax receipt, etc.) /lG,4f` /L �'.Y �r D
G ,ti '' ;' )&T ' -fes ; i ! f'`x f :� •;4
DESCRIPTION 0 WORK: New / Addition
Size of Lot ��,•f ��5
Const.Di i nsions
(Frame, concrete, brick, etc.)
Rooms `'- Baths , 'Basement
(Full, part, 'sne)
Heat. System ,/-• Type,, of Roofing
41
Use of Bldg. .41;—^
-`
..,-;...s
Remodel Moving Bldg. ZoQ,e
Sewage System
Total Sq. Ft.
Garage or Carport Attached
e --#1t �,- c ,.., v Chimney
Ext Finish l
Fire Zone
i
Storie
OC
Valuation ff 30
Fireplace
(Kind) „ (Number) "i.
Int. Wall Finish
6,4„141t,Kaa No. of Units
- Private Detatched
Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of s
tem and water supply lines. �t-
NORTH r� j,� ,. �%i.(,,�4A."
I hereby
as shown. X
SOUTH
certify information sttlimitted is correct
i 1
Owner or Aeent
re
m
us
-1
and
ewa a ys-
71/7.b
State License No.
A23 -b/- 73 6
I
1 --736
Ind. Ins. Acct. No.
REQUIR
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except