1976, 10-15 Permit App: L5834 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 sj
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, ort change a land use. Construction must conform with the
'Spokane County Building Code and Zoning Ordinance. Construction)is subject to inspection.
NATER. 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
M, � f APPLICANT FILL IN BELOW THIS LINE
< <� —r
Name of Owner Address Phone�-�-
Architect Address Phone
Engineer Address "`"' ,e'� 7 16 Phone
Contractor Address � Phone ! -
41 a6
Legal Description% of Pr9perty (Givve,o`mpp ete description from d ed, tax receipt, etc -
DESCRIPTION OF WORK: New _;./ Addition Remodel Moving Bldg. Zone Fire Zone
�3
Size of Lot n X Sewage System sS J onst.✓-"`x-
Rr., Conc., r., etc.)
Stories Dimensions b '� 92-6 o : Total Sq. Ft. Valuations G �/d
Rooms --!:I— Baths Basementy Foundation Const.. C'' C n � r E r� Chimney Fireplace �"
Full, part, none (Kind) (Number
Heat. System LLj Type of Roofing C` co -e7 h Ext. Fini 7 / / Int. Wall Finish" K '
Use of Bldg. ! No. of Units Bedrgoms
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.
(� NORTH RE COMMERCIAL State License No.
SOUTH
Ind, s. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
CA Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I he`by•ccrtify information submitted is correct and there are no other structures locate on this property except
as shown. % i -
5
Owner or Agent D e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number _
Remarks
Issued
DO NOT WRITE BELOW THIS LINE
l_,fi� 3Lc�- The zone
Building Permit Q A 4 Receipt
Issued
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