1975, 10-10 Permit App: L1783 BarnGinty of Spokane, WaAgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .J__((�j
_J�_�_________________
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. Nater 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 -RACK 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 trust 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.
0*0TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
ww'hhich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 9'9120 (p
Name of Owner U2iU /1A S o n Address _
Architect Address _
Engineer 4 Address _
Contractor dress
Le al Description of Property (Give complete descripti n fro deed, tax
�
11 04 Lot 3 y AGt Dol_fi a /7 D o f �( ,
pt,, etc.)
Phone
Phone
Phone
Phone
95�(/ -- G S'o
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zgpe /
Size of Lot o Sewage System onst. ' t�
f hh p p FR., Con r., etc.)
Stories Dimensions / o� %� Total Sq. Ft. Valuation
Rooms Baths Basement Foundation Const.. Chimney Fireplace
Fu 1, part, nonce (Kind) (Nur r
Heat. System Type of Roofing t. Finish Int. Wall Finish
Use of Bldg. A?adYt� No. of Units—Bedrooms �^
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.
CA
-4
1
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUI
Plumbing Permit
In Heating Heating Permit
toSewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
h eby certi f ion s bmitted is correct and there are no other struct res located on this prdperty except
as all
ner r gent Dat
A LAND E OR ST URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS T A PER
DO NOT WRITE BELOW THIS LINE
Your street address will be �� 02 The zone is
Sewage Permit Number Issued Bui Aina Permit 4Z2,U Receipt 3 Issued
Remarks
Form 523 Bldg. Code
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