1976, 03-22 Permit App: L3033 ResidenceAPPROVED B � NOTED
Spokane "n` C nty of Spokane, Wasagton
Iua BUILDING CODE DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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CATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE...T................
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 most 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 enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE V D 3
Name of Owner Address '9 Phone
Architect Address Phone
Engineer Address Phone
Contractor % Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire one S
Size of Lot lP X 3 0 Sewage System ' - Const. A -/"Y1 -Q_
`/ (Fr., Con r., a c. oa
Stories Dimensio s !�12 X / Total Sq. Ft. valuation
Rooms Baths Basement Fqun ati n Const. Chimne Fireplace i
- (full, part, non _ (Kind) (Number,
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. No. of Units —Bedrooms
U 17
PLOT PLAN
i Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
�oposed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of seg sy -
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL State License No.
'0/- E`s
SOUTH
I herglb�*-cert' fy information submi
as shown. (, G
-Owner or Agent
A LAND USE OR STRUCTURE PERM Ml
THIS IS NOT A PERMIT.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit 'y
NSewage Permit L v
are no other
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed _
ctures located
on this property except
N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
l Your street address will be o/'5- 26yk-
The zone is
Sewage Permit Number Issued Building Pern t .. 2:2 Receipt Issued
Remarks
Form 523 Bldg. Code
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