1976, 10-18 Permit App: L5884 BarnState License No.
Ind. Ins. Acct. No.
• •
4
1 County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON
APPLICATION FOR LAND USE OR STRUCTURE PERMI '
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 enfo ceable through civil action. County Officials can not bring action to enforce covenants or dedications.
2 APPLICANT FILL IN BELOW THIS LINE
Name of Owner
' e Address _/ / Phone 47-2-, r `
Architect Address (--df 2- 0 b Phone
Engineer , Address Phone
Contractor "�i 7 . „GA- Address Phone
Le al Descri . of Property (Give complpte descrip_tjan from deed, tax i,pt, etc) t-�4.� c� / 7 _if- S / -- O -3�
DESCRIPTION OF WORK: New Addition Remodel
Size of t 3f� X &C 0 r Sewage System Const.
Cly � (Fr., Con
Stories /... Dimensions /6' )(!�s Total Sq Ft /`,3 - Valuatio
Rooms BathsBasement Foundation Const ---(A----e-tio Chimney Fireplace
Full, part, none (Kind) (Number
Moving Bldg. Zone Fire Zo
Heat. System
Ty a of Roofing
Ext. Finish
Use of Bldg. etct,..L•.,—
/
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
� 0
NORTH
LOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Int. Wall Finish
No. of Units._ Bedrooms
RESIDENTIAL — COMMERCIAL.
ts
I h
s) show
by certify /or
1CCC-
`-I SOUTH
,submitted is correct and there are no other structures located on this property except
/e770‘
r
7.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A ND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will b"7
Sewage Permit Number
Remarks 'U'�'G�`
Issued
The zone is��
Bu d g Permit Receipt e 7 ssued
I
Form 523 Bldg. Code