1976, 10-06 Permit App: L5715 Residence• •
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 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.
n F21 . APPLICANT FILL IN BELOW THIS LINE
leV
Name of Owner //JJ
Architect
Engineer •
Contractor J0dry +
Le al D of Pro (Giveco to •e Sip 'on from
Address Phone
Address
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Address Iy7it� =: e4� Phone .'�J$(—tie
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DESCRIPTION OF WORK: New t Addition
Size of Lot /c2 ?'t 3 (o iX ,R s5(.1 )
StoriesDimensions &51 X % ? y/X.3 0
/^
Rooms l$ Baths.3 _ Basemen
part, n
Remodel
Moving
.03. Sewage Sys
Total
01e/1_0Z
Heat. System
Use of Bldg.
( Foundation Const
PLOT PLAN
Draw setch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed bt4ildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and wer supply lines.
one
r. etc.) jn
tion 914'yGI
(Kind) (Number
I Finish
No. of Units iL. Bedr
NORTH
RESIDENTIAL— COMMERCIAL
.353 . /O
..3e'
/.S'
m
To
24
F 7 el
SOUTH
I hereby certif information submitte s correct and there are no other
as shown. \.
State License No.
„243 -O / -a /sa i0/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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 WRITE BELOW THIS LINE
Your street address will be .1/l .2 .G .5 _Ai,"LC-Pc-L.-LA-4
Sewage Permit Number Issued Building (permit
Remarks - -