1976, 06-23 Permit App: L4449 ResidenceCounty of Spokane, Waslgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -;
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.
/COUN.T - 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 9/4L -147 -6 --
Architect 4L-1' --Architect
Engineer I
Contractor ---2-744----)L--
Le aI Description of P perty (Give
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7
Address '11 .2- -: �"� Phone 9 ' / 716
Address a%C( Phone
Address Phone
Address Phone
comp) to description from deed receipt, etc )
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ovi-
DESCRIPTION OF WORK: New
Size of Lot v U q a 2_3
Stories Dimensionsg'
Rooms
Heat. System
Use of Bldg.
Addition
G �.
6 < ( 2 on
Remodel
Moving Bldg. Zone
Sewage System
S /
onst.
Fr., Co
Valuat
Total Sq Ft
BathsBasement Foundation Const. fi'� « D Chimney Fireplace
(Full, part, non n � (Kind) (Number
Type of Roofing (7 dam' ` Ext. Finish `i� �' fir' {- Int. Wall Finish
Oq
-v
7
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
/ No. of Units _ Bedrooms 3
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-
RESIDENTIAL — COMMERCIAL
State Dense No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked >,Tp
Plans Mailed l
N 0 1? t "
PI°P .122 4
1. 6,7 iv). xid? it pliu _4_47
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