1976, 02-19 Permit App: L2669 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT //)� 0
GENERAL REQUIREMENTS PERMIT FEE ._�v__________
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
y 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 distuibs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
i, 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 p
Name of Owner Address 1-5-a2 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. __L Fire Z9pe
Size of Lot / S w System �1— For.,
I J Fr., Con, r., etc.) c�
Stories& Dimens o IUD J� Total Sq. Ft. Valuation X90
Rooms Baths Basement Fo da ion Const. _ Cie p Chimney Fireplace —
I part, non (Kind) (Numbe
Heat. System Type of Roo i g Ext. Finish _//, Int. all Finish
Use of Bldg. w 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 acd streets; (5) dimensions of building (6) lots ion of sewage s s-
tem and water supply lines.
NORTHRESIDENTIAL — OMMERCIAL 0 State License No.
d5 A 3 '0 -� DIV
Ind. Ins. Acct. No.
I i
SOUTH
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed —
I hereby certify iormatio su ed correct and there are no other structures located on this property except
as shown. �� /,4/7 1-7
Owner o
i A LAND USE OR STRUCT
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
c_._ cno o1J_ 1_J_
i
gen Date
RE P UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
' 4� 2 6 c -�24 4.0(1 atX.-f— The zone is
Issued Building Permit' //� Receipt Issued
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