1976, 10-20 Permit App: L5898 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Vol
GENERAL REQUIREMENTS PERMIT FEE ...........................
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of say,
kind or alter any building or structure already erected, or to Change a land use. Construction most coaform with the
Spokane Comfy Building Cade and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply mint be approved by the County and State Health Departments. Where work onwater connections disturbs
the surface, shoulders or ditches of County Roads, permission most be obtained from the County Engineer's Office.
SEIIAGE SYSTEM. Permits are required in all cases by County Resolutions NOW. 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.
9TkTE1:fGHWAYS. Where the structure abuts a State High.ay, clearance most be obtained pertaining to setback and Ingress
sad egress. r . .
COUNTY ROMS. Work on street right-of-way may not be performed until staked by County Road Department sadiro`rk must be
—4ae4ormed in accordance With stakes. Paints of ingress and egress most 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 most 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 at bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of owner. v!/ 2 ( rY 125 C'C"C- /AI" Address Si' o' t-,' .X531.✓e f B/2 Z Phone
Architect Address Phone
Engineer Address Phone
Caneracror M x- Address Phone 3
Legal Description of Property (Give complete description from deed, tax receipt, etc.) /C/;o
DESCRIPTION OF WORK: New ')I'- Addition Remodel Moving Bldg. Zone r— Fire Zone _2
Six. of Lot �C% rr d L X /3 2. 2 J J Sewage System — AA C Const ..)
Gc/JC G.a¢yet IFr., Conc, Br., etal
Stories L Dimensions 2*f Total Be. Ft.1'/E /� Valuation 73
Roans y}_ Baths Ful B sim not L Foundation Const. "A' Chimne ' d� Fireplace (Number
Heat. System % <C c Type of Roofing P E.A. Finish Int. Wall Finish ,IIO wA L
Use of Be,. - /1<!/ !CA C' - No. of Units _ Bedroom
vl PLOT PLAN .
rOraw sketch with dimensions shoaling: (1) property lines; (2) street or road locations; (3) location of existing and
Proposed buildings; (4) distance to property lines acd streets: (5) dimensions of buildings; (6) location of sewage aye -
tem and water supply lines.
NORTH sono. L1=ee No.
�\ Ind. Ini..Ase. Na.
fi 1
REQUIRED
Plumbing Permit zL
we Heating Permit ('/ : dL Sis .n1
Is Sewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information sub it is correct and there are no other structures located on this property except
as shown.
Owner or Agent ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LIKE
�pry—�!-/7'h
You street address will be h� JC��3 �"lfr'DAAcF:�'���"""U a zone Ss
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks —
•Y � 1
Form 523 Bldg. Code
30'
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or 2 %'(0CK 3
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