1977, 01-26 Permit App: L6817 Residence County of Spokane, Washffigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
iz
GENERAL REQUIREMENTS PERMIT FEE S./ i
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 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.
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
iland 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 dedication .
APPLICANT FILL IN BELOW THIS� LINE
Name of Owner 1_ Address S- -„/rte 7 /- ,n' Phone 928-'25992_,
Architect Address Phone
Engineer Address Phone
Contractor _ Address Phone
Legal escription of Pro erty (Give c mpl to description from deed, tax receipt, etc.)
d? �. ,2. r�. 7 Z' c?7.53--.0 90
X.../...76-o6 — o
DESCRIPTION OF WORK: New _ _ Addition Remodel Moving Bld Zone / Fire Zone -I
Size of Lot • A37 Sewage System . const.
E
etc.)
Stories I Dimensions Ril)CZ6"Z �' ga".°C/4'l '38',X»' Total Sq. Ft. .. Conc.,
VS; deb
Rooms Z. Baths Basement Foundation Const.. Chimney6M442,_ Fireplace �
Chimne
FuII, part, none _ � /n� (Kind) (Number
Heat. System .1" --74 Type of Roofin Ext. Finish 4/09400. Int. Wall Finish
Use of Bldg. Go,u a_./It. r'
No. of Units.4 Bedrooms .
/
C 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-
tea and water supply lines.
el NORTH RESIDENTIAL- COMMERCIAL State License No.
4 D-4F..L 3 a 9 QS--22.3—o/
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit ' —, '_
* ,t162- / , / Heating Permit
en 44.4-0.4iires.
H N Sewage Permit
~ 0/191 -i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informat' n submitted is correct and there are no other structures located on this property except
as shown. /� - 77
i
Owner or A t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
, 7.�� .,-
,6 - DO NOT WRITE BELOW THIS LINE
rir�Your street address will be � ��. ��-'C�� �-� The zone is �(,
Sewage Permit Number Issued Building Permit0 Receipt 1-50 Issued
Remarks ,
Form 523 Bldg. Code
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