1976, 11-30 Permit App: L6357 ResidenceCenty of Spokane. Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKAAIE, 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 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 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 1THIS LINE Imo `' " /�'%C��L ) // �/
Address 2 � / 7 2 % Phone f27 < 7
Address Phone
Addres'� i Irl t �/f 1 ` Phone
Address Phone ' - 3 6 7
Name of Owner
Architect
e
'i
ontr c or
Art
Legal Description of Pro rty Give complete_c?kescripXon froly deed, tax receip
DESCRIPTION
Size of Lot
Stories
Rooms
OF WORK: New V Addition Remodel
}t/5x 160 l pl'i
imensions
Moving Bld . Zone
l
Fire
Sewage System Const. rtiv
Fr., Conc., Br. c.)
n Valuation G
(Kind) Firep ace
Wall Finish
of Units 4 Bedrooms
q 7 `Yc",e Q2,09.- Total Sq. Ft
Basement dation Const C -7-e i-1 -
part non % J
Type ooff_Roofing
Heat. Syste
Use of Bldg.
Fou
Ext. Finish/1/4/;371e/— Int.
No.
Chimne
'✓ PLOT PLAN
Draw skethti with d1mensi ns bowing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and stre• -• (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
r
c,
NORTH
RESIDENTIAL
COMMERCIAL
o
as sh
I hereby ' tify in .rma
SOUTH
n submitt
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WBELOW THIS LINE
7
Your street address will be
Sewage Permit Number Issued
Building Permit v
The zone is
Receipt L} 7 3 /Issued
Form 523 Blda. Code
•
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