1976, 04-09 Permit App: L3302 MHPo
i •
Cali of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
REQUIREMENTS PERMIT FEE.__._ __._
GENERAL / O
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 mast 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 PROM 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.
FR/ na p ler APPLICANT FILL IN BELOW THIS LINE
Name of Owner .1.. _/. Address a- 1_ ' fl Phone
Architect Address 411111, Phone
4.
Engineer Address Phone
Contractor _Address Phone
7 Q
LeI Description of Property��I/(Give
complete ndescription frog) deed to receipt etc 1
yqa
P '�- , i -' [ dl te..P ra4a Lite ��€
DESCRIPTION OF WORK: New • // Addition
Size of Lot RZ / O( S"-'
Stories Dimensions
Rooms �7 Baths S
(y�(Fu
Heat. System
Use of Bldg.
Remodel Moving Bldg. Zone Fire Zone e
Sewage System S TJ onst. '—
(Fr., Conc., c.)
0 -roc 6 5y Total S Ft f'60 ti 1 ValuationDea
/� � q
Basement Foundation Const 00-0•" 411-- Chimney Fireplace
I, part, none) (Kind) (Number
I Type of Roofing ,p �� Ext. Finish int Wall Finish
l�dhru �.P .jo ln-e CO? . Q_i4 i V; nr.o- No of Units _Bedrooms 3
PLOT PLAN
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.
m
N
N
NORTH
RESIDENTIAL — COMMERCIAL
I hereby ce
as shown,
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures ocated on this property except
Owner or Agen !:te
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
(y,, in, 144z epp DO NOT WRITE BELOW THIS LINE
Tour street address will be C� /Do ,j -z!ti (27.24-,Q/ O he zone is
Sewage Permit Number Issued Building Permit /7,_7�d•, ceipt OicfrIsaued
Remarks
Form 523 Bldg. Code