1976, 07-12 Permit App: L4725 MHCo6nty of Spokane. Wasgton
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. Constiuctlon 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 distuibs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.µ
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
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engin
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on
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 rutin
which are enforceable through civil action. County Officials can not bring action to enforce covenants
APPLICANT FILL IN BELOW THIS LINE
-back and ingress
and work ma,i bA;
eer. .a
a County or -State
•
es
ing with the lands='
or dedicatfbns.
NaMe of Owner 4 .. I ' - Address
Architect Address �H ..-o� Phone
_ ,
Engineer ( I Address _ '/,._.•+a'4f'Ir Phone -got-6
ei4A,Ze Address 19" Phone / 1/43
4/4 ? _qA/ i C AfJ,4 /i none 9R 3?t 3n --
Legal Description ot4ropert ive coptpletee description from deed. to receipt, etc.)
4 o—I 1 ( �L�l
DESCRIPTION OF WORK: New 4Addition
Size of Lot Z5 �X LSO
•
Stories _Diniensi
Rooms Baths
Heat. System
Use of Bldg.
Remodel Moving Bldg. Zone Fire , Zo�tnep i(�,,.Y71� a
Sewage System
k.Const 7'iJtCC' /-^a ,
y Fr., on Br., arca' t ,
%y 4�Q Total Sq. Ft. Valuaeplace QOM -:Ir;
[[�� teat
"
Basement -^•0 '•'— Foundation Const tea Q� Chimney Fireplace D
ti I. part, noneT �,t p (Kind) (Number ..
Type of Roofing %1 .7 ,it Finish �1J2.GiLL Int Wall Finish G il(ri eo
./..5,-44:10,../..5,-44:10,, "--22n/ �n _ �1�:"'✓1'i-.Q s No of Units __a Be rooms �—
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
-f
L 17)oi$
NORTH
RESIDENTIAL — COMMERCIAL
75
/St
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
IASewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Tailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
ad d [�s�`c 2- / 2- -
Owner or Agent
Date
A LAND U4f OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Your street address will be / 7.3 U i jp 7The zone 1sda keettie
Sewage permit Number Issued Building Permi 4.0.2S Receipt / 90/ Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code