1977, 03-08 Permit App: L7386 ResidenceAndyof Spokane, Wasikigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PEIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure e! -any
kindor 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
Name of Owner
4111!:6., Address
Architect Address
Engineer Address
Contractor Address Phone
'i Phone
, d// Phone
P3.P 3.3- Phone
Legal Description of P operty (Give compl to d scription from deed, t receipt, etc )
/ .4"-- o .rev /%, -74.4,
DESCRIPTION OF WORK: New ...X Addition Remodel Moving BId . Zone _/ Fire ones
Size of Lot / tf.60 Y o?3 Sewage System onCst. J7 .
A .,, !!��yyyy FFr., onc., Br., etc.) j
Storm Dim igarons %6 X a Total Sq Ft a20c7�yaluation 1.7- 9O
Rooms G Baths 2 Basement-e..-�-/1 Foundation Const e,,,,,.. -21r Chimney Fireplace
(Full, part, none (Kind) 'n (Number
Heat. System .A' , Type of Roofi » Ext. Finish �. Int. Wall Finish u0/-�'
Use of Bldg. �v J(ct r / / / 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.
en
N
NORTH
- COMMERCIAL
I hereby certify i
as shown.
SOUTH
tion submitted icorrect
7
r or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit /. J
n+ Heating Permit "1`-" /"-'_'-,,
IA
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
3-(F.--»
Date
A LAND USE OR TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your--atraet address will be �, / , , 1 (4<-4-144,-.af L� .
1, tet.; (,�C The zone is Loki- a, / c U
Sewage Permit Number Issued Building Permit ,j Receipt 4!(0 3 Issued
Remarks �j � t
Form 523 Bldg. Code
190
‘).
1.7
;16
.5(7
Fi7-
1..0r it e ipo
_ pine5
Id iv fre ig '6(
croh
6 d,c, ideR
koa- 190q
6_,94,ye
n / a