1977, 03-15 Permit App: L7452 ResidenceC&ntof S okane � VI/as
Y p � gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERMIT p 0
GENERAL REQUIREMENTS PERMIT FEE.__
PERMuse
kind or alteranyanylbuildingoorstructure structurre alreadyrmit serected, oruired touchangeResolution
use.erect
Constructionnmust conformstructure
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.
tt APPLICANT FILL IN BELOW THIS LINE p
Name of Owner��It • I S h C d- Address ''� "'
Architect �i��, Address
Phone
Engineer Address
Phone
Contractor 1��'✓- E' /%/ E f cr"
Address lew$ Ph
rLe
Legal Description of Property (Give complete description from deed, tax receipt etc.) I".'4)-'fS�
DESCRIPTION OF WORK: New `"f- Addition Remodel Moving Bldg. ZoneFire Zone
Size of Lot 13p Sewage System 'S• T'. onst.�Y►4rY1 CJ
}
Stories -1—Dimensions Br., etc.)
pimensions d y Total Sq. Ft. JAZ faluation ?n��o�
Rooms_ Baths Basement �,� jj // oundation Const. Chimney +� .f Fireplace
F/ull, part, nond"`— a (Kind) p (Numb
Heat. System tr c-' Type of Roofing e �t�°�'
9;tExt. Finish Int. Wall Finish
Use of Bldg. GtJr 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-
em and water supply lines.
NORTH RESIDENTIAL -COMMERCIAL S e No.
SOUTH
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned i
Plans Picked Up
Plans Mailed
I hereby cer#yfort�e�is correct and there are no other structures located on, this property except
as shown. / //
uwner or Agent `- Date
A LAND USE OR STRUCTUR 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 G Q W % p
Sewage Permit Number The zone is
Issued Building Permit. ✓j
Remarks Receipt 5 u Issued
Form 523 Bldg. Code
i
lrY�