1977, 02-15 Permit App: L6981 Residence County of Spokane, Washington
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 str aill/e of any
kind or 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.
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SET- OM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
le 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.
f APPLICANT FILL IN BELOW THIS LINE s` l*L_
Name of Owner ^r 1 Y�� L.�� _Address A X Phone
Architect Address Phone
Engineer Address Phone
Contractor Address Pho -
Legal DescriptionP f Pr7per a corMete des r pti from deed, tax receipt, td.)
DESCRIPTION OF WORK: New ___ "---"Addition Remodel Moving Bid Z nN jr Fire Lgne
Size of Lot , l�� Sewage System s- Const. rt.-4
,�0 "4S
(Fr., Contion Br e )
Stories Dimensions _ Total Sq. Ft.� � `•`� Valuation ppf
Rooms _` _Baths / Basement }-Ili Foundation Const.SLG11�- - Chimney I Fireplace Pre-
(F I , part, none (Kind) Number�
Heat. Systeme, / I Type of Roofing Ext. Finish / —f( Int. Wall Finish ("JO
j
Use of Bldg. St Iv No. of Units_Bedrooms
i it-.. C PLOT PLAN
Draw sketch with dim sions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) stance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. ____
NORTH < ERER SIDENTIAL—COMMERCIAL 22 State
1License No. n
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
m a
N N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information-submit: ' correct and there are no other structures located on this property except
as shown. I a II\ .` ISP
Ow.- or g j� Date
A LAND USE OR STRUCTUR IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
... � 741 e DO NOT WRITE BELOW THIS LINE
Your street address will be ( /�7 'l J/ t. ../ The zone is >J.G,z4-4-=
Sewage Permit Number Issued . /,Building Perm t Cly p/ Receipt Issued
Remarks —01111 • a s ._ � �� sa
Form 523 Bldg. Code
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