1976, 03-03 Permit App: L7236 DemolitionCtntY P of Spokane. Was 9ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT l
GENERAL REQUIREMENTS PERMIT FEE
l
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
which are enforceable through civil action. County Officials can not bring action nto ;. ce covenants or dedications.
eYAX4%ilii 1 7 APPLICANT FILL IN BELOW THIS LINE, 7A
Name of Own: ZG���`Lt�� Address Phone
Mb
Engineer Address Phone
Architect / Address Phone
i
Contractor ,a'71.,- Address Pho e
or dedications and easements running with the land
Legal Description o
Property (Give complete descrip
from deed, tax receipt, etc
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zo 3
Size of Lot ( J Sewage System �onsConfC., Br.., e
Stories Dimensions / . 3 ) Total Sq. Ft 7:2-6 Valuation 2.
Rooms Baths Basement . Foundation Const �'�2 ;-� Chimney Fireplace
Full, part, novel (Kind) (Number
Hea st Type of Roofing Ext. Finish Int. Wall Finish
Us of Bldg - No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensi'dns 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-
em and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
to Sewage Permit
- 4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I her certify informption submitted is correct and there are no other structures locate on �lyis property except
87 show
ner or Agent
A LAND USE OR..STRUCTURE
THIS IS NOT A PERMIT.
Date
IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NQT WRIOE BELOW THIS LINE
Your street address will be ' .
Sewage Permit Number Issued
Remarks
Building( rmit
The zone i
Receipt
-C:
ued
Form 523 Bldg. Code