1976, 05-12 Permit App: L3802 ResidenceAnty of Spokane, WashAgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
/kl 55=
GENERAL REQUIREMENTS PERMIT FEE .�.J-..................
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.
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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicati
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Address /15 J Phone
�'�
Architect Address l Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) %S %
L -0L /, , l ', ( I I )r,(, i, , l tl (' C61rYit::,
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 RESIDENTIAL — COMMERCIAL State License No.
(A
t 4) J,6A,-,
W *U�,V_k
SOU TH
I hereby cify informatiCsubmitted ins cy
as shown. v � \ 4
Ind. ,dns. Acct. No.
I
R
Plumbing Perrr
M Heating Permil
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked U
Plans Mailed _
are no other structures located on this property except
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be �f ' u
The zone is
Sewage Permit Number Issued Building Permit — Receipt Issued
Remarks Q
Form 523 Bldct. Code
DESCRIPTION OF WORK: New� Addition Remodel
Moving
Bldg. Zone
Fire Zone
Size of Lot
Sewage System
f"-7Cc
onst.
�Fr., Conc.,
StoriesDimensions 2(G
Notal Sq.
Ft.- Jit
Br., etc.)
Valuation Ji
Rooms Baths Basement - Gl - P yndatiory Const. i ' (t Chimney)) fit'
(Full, part, none f h k<� �C t. ,•-, c- t, — (Kind)
Heat. System1 t • " ri T r
1� ___ ype of Roofing �I Y� Ext. Finish Int. Wall Finish
( Fireplace
(Number
Use of Bldg.k_
�C �f
No. of Units
—Bedrooms .
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 RESIDENTIAL — COMMERCIAL State License No.
(A
t 4) J,6A,-,
W *U�,V_k
SOU TH
I hereby cify informatiCsubmitted ins cy
as shown. v � \ 4
Ind. ,dns. Acct. No.
I
R
Plumbing Perrr
M Heating Permil
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked U
Plans Mailed _
are no other structures located on this property except
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be �f ' u
The zone is
Sewage Permit Number Issued Building Permit — Receipt Issued
Remarks Q
Form 523 Bldct. Code
L . it,, B.
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