1976, 11-22 Permit App: L6280 Residence•
BASIC # 3 JOB # 157
County of Spokane, Washington
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.
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 THIS LINE
n Address P.0.1 421T Spokane, 99214 Phone 928-3076
Name of Owner
Architect Address Phone
Engineer Address sane Phone
Same same
Contractor Address Phone
•
• ill
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
Parcel # 55-543-0112
Oot # 12 Blk. 1 Forest Meadow
DESCRIPTION OF WORK: New X Addition
Size of Lot 104x87x59x159x166
68x24 (garage attached)
Remodel
Stories Dimensions
Rooms _6L Baths 2 Basement Rill Foundation Const
(Full, part, none) shake
Heat. System gas Type of Roofing
Use of Bldg. sing1 a res.
Moving Bldg. Zone Firerone 3
Sewage System 7 - '7 const.
(Fr., Conc20rO,p„jc.b0
Total Sq. Ft �fb Valuation V2V
concrete Chimney (K al Fireplace 1�umber
Ext. Finish
plywood 1�
Int. Wall Finish da$l
No. of Units Bedrooms 3
1
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.
NORTH
RESIDENTIAL — COMMERCIAL
attached
SOUTH
m
a
N
1
State License No.
ri—ch—ar—c245cf
Ind. Ins. Acct. No.
232-267
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures
ad—shown. -/ /
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
located on this property, except
J/)-1-(
DO NOT WRITE B
THIS LINE
Your street address will be / • - %-d rc6-e-sr— r`
Sewage Permit Number
Remarks
Issued
Building Permit
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The zone is
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