1976, 03-08 Permit App: L2889 MHCanty of Spokane, Wasl ton
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BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .__cr
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.
LICANT FILL IN BELOW THIS LINE
Name of Owne G6ll�.���o/,
Architect
Engineer
Contractor
Legal9bscription of Prop y (Giv, complete de
aZ l?
41101
Address .1 , / —1 Phone 4,,25/--'1et`.?L)
Address Phone
Address Phone
Address Phone
s4 -a -mss^
tion from —
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p, tax rec
DESCRIPTION OF WORK: New `Addition Remodel
Size of Lot yy.0P9 '- /.?.154;,< /��, 6,7 /63—
Stories _i_ Dimensions Jr)." a.
Rooms Baths / Basemen Foundation Const_j-
I, part, none
Moving
Sewage
Heat. Syste
Use of Bldg.
dg. Zone
Fire Zone \�
�,r .. • onst
al, Gg
Br., �l
Total Sq. Ft 7''7'4 Valuation
(TMTJ
r Chimney Fi ace N
Kind) if
ee
Int. Wall Finish /?-ai-,C i
No. of Units _ Bedrooms `]
PLOT PLAN
Draw sketch with proposed buildings; (4)mdistance ensions stowproperty lines rand ty lstreetines; s; (5)2) rdimensions of buildings; eet or road loctions; ((6)3) llocationocatinooffesewagegsyan
s-
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL
SOUTH /\3/ 6'7
I hereb c r£
y formation s b tte. orrect and there are no other structures located on this property except
\Z4 `��
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
as shown. -wL'2�
Owner or ent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
( rLL� �2�a t,4NJ
Your street address will be c)
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
A/IoJ C `J The zone
Building Permit ,L 2 9 Receipt Q
Form 523 Bldg. Code