1976, 04-08 Permit App: L3297 RemodelCotnty of Spokane, Washgton
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
O d
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /0
GENERAL REQUIREMENTS PERMIT FEE
PMIRIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or atructure of ay
kind or alter any building or structure already erected, or to change a land use. Construction meet conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subiect to inspection.
RATER. Rater supply meet be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Reads, permission mint be obtained from the County Ea[ineer's Office,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133and47235.
SET -BACK FILM PROPERTY LINES. Io 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' aide yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance moat be obtained Pertaining to set -bank 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 most be approved by the County Engineer.
ROVING OF BUILDINGS. A pernit 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 generate permit.
REBTRICIIVE COVENANTS. Builders should check provisions of covenants or dedications and easements remain[ with the land
which are enforceable through civil action. County Officials can not bring action to enforce coveoants or dedications.
Name of t
Architect
Engineer.
Legal
FILL IN BELOW THIS LINE
Andras.
Phone
DESCRIPTION OF WORK: Naw T Addition Remodel Moving Bltlpo'. one Fire Z
Size of Lot 1; A'TY J - �� sewage system 4 CCooat
(F
Stories Dimenaiyyop��nnpe,ti Total Sq. Ft. ValuationCJOQ-
RoomgBethatcGBamementu coundation Const. Chinnev Fireplace
�(fiu�l 1, pert, mons J (Kind) (Number
e1! el. Sya of m "' Type of Roofing Eat Finish / Int. Wall Finish
Una of Bltlg. o. of Unita _ Sedr
PLOT N
Drew 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; (B) location of sewage ays-
tn and water supply linea.
NORTH RFS( ENTIA COMMERCIAL Brats Ltc Ne.
st
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N
N
Ind. Ion. Acct. No.
P* G -/ -)e
REQUIRED
Plumbing Permft
Heating Permit
Sewage Permit
Plane Received
Plans Checked.
Plans Retuned
Plane Picked Ui
Plane Mailed _
SOUTH
I here a fy infer tion ��.a�s� submitted is correct and there are no other structures �loc[ated on this property except
show s CJ
Omer or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NO�T7 WRITE BELOW THIS LINE
Your street address will he e_�J / Gl d "�— The sone 1s
Sewage Permit Number Issued Building Receipt 01a Issued
Remarks
Form AM Bid.