1976, 02-05 Permit App: L2563 Residenceb
Clinfy of Spokane. Wasiligfon
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. 45-133d47.235.
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
petformed 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 i
which are enforceable through civil action. County sOfficialsocan anot bring daction ntos senfond rcemcovenaents ntslor dedicthe land
atiorg.
' - APPLICANT FILL IN BELOW THIS LINE
Name of Owne
Architect Address 's ' / - ' 3J-- _ if
yot—de....
PhoneEngineer Address , &"---- 9 y Z'13 Phone
Address Phone
Contractor 47 yt�-- Address
Legal Description of Property (Give,e._—Aiagi
- Adde/scription f om//d�eed, tax re eipt, a �d /' o-ine_ / (//%
DESCRIPTION OF WORK: New
Size of Lot q o `-- t °
Stories / Dimensions K L-/ a-- O. 0 -a • Total Sq.Ft i. ' c
Rooms 'Valuation
Baths Basement 4-- Foundation Const //��
(Full, part, none) C�� Chimney Fireplace
Type of R fing c._� Ext. Finish %,—�/ / (Kind) A (Numb
Int. Wall Finish �y
ti —�� No. of Units _ Bedrooms 3
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) location of sewage sys-
tem and water supply lines.
Addition Remodel Moving Bldg.Zone3
/ Fire Zane
Sewage System (Fronst.
., Co
Heat. System
Use of Bldg.
PLOT PLAN
m
a
—1
NORTH
RESIDENTIAL — COMMERCIAL
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I/O63--e (p,e,
46
4 dr, . it41,, /i � .
Owne or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
SOUTH
Ind. In:. Acct. N
REQUIRED
Plumbing Permit `f:17---
Heating
f:17'
Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ion submitted is correct and there are no other structures located o thi property except
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Blda. Code
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