1976, 03-03 Permit App: L2832 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �-
GENERAL REQUIREMENTS PERMIT FEE gr
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 wit 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 dis urbs
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
Name of Owner
Architect
Engineer
Contractor
Address
Address
Address
Address
/�
0
Phone ivy °2'r
Phone
Phone
Phone
{tau ) idlaLtiv -
Legal Description of Property (Give complete description from deed, tax receipt, etc
t) . a q i 51 40 `I a -t 3 /, - Le &I
feazo-vo
DESCRIPTION OF WORK: New Addition
Size of Lot
Stories Dimensions Oer ;w r (.20o y( �'�
Rooms Baths Basement
Full, part, non
Heat. System `. . Type of
Use of Bldg. KJ
Remodel Moving Bld Fire Z e
S pge System � onst. `?/?!°4f J
j "►urs {Fr., Con etc.)
/0 X 4Z� Total Sq. Ft P9-115- 1�tV�/aluatior j �Za�.�
o st Chimneyh�l / Fireplace
. Zone
,Petiitty
(Kind)
(Num
Int. Wall Finish .L.
No. of Units — Bedrooms
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3)
proposed buildings; (4) distance to property lines and streets; (5) dimensions of building ;
tem and water supply lines.
NORTH
(".
RESIDENTIAL
-c),04/vu
ait-TRA.L.k
as sh
SOUTH
e
location of existing and
1•cation of s age sys-
D
State License o.
- /�Dl-pb-l2f-,27
REQUptED
Plumbing Permit , C%
Heating Permit 134 CI eLc,p.
Sewage Permit 10L4 -1i cC.Q -+�--.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby of ormation su witted is correct and there are no other struct res located on this property exc pt
own. 3/ f7 k
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
( pil 71 t�-w--) DO NOT WRITE BELOW THIS LINE
Your street address will be110_0 yg g The zone is
Sewage Permit Number Issued Building Permit ,2S 3L Receipt- Issued
Remarks v0
,6-51,1.
Form 523 Bldg. Code
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