1976, 01-28 Permit App: L2499 ResidenceCatty of Spokane, Washlgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structun..of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
with the land
dedications.
Name of Owner F Address 7 J/ .[SD.r /3 Phone
Architect Address ,'?4',i -'/-/A:2- .2-Agi! c/ XDA-Ala Phone
Engineer Address P��.?/i Phone
Contractor ��qih G Address Phone
T 23 —5—f —3
Zl1 is S /U a �� L iC i r / 1 C'HDr�-'.r 15 r: d.v
Legal Description of Property (Give complete description from dyed, tax receipt, etc?)
DESCRIPTION OF WORK: New Addition
Size of Lot // y '- / &17/
St / D' 76 C�
OP A/c
Ext. Finish Le) D D
Remodel
Moving Bldg. Zone Fire Zone
Sewage System �%%T% - Const. / '9' F
p� (Fr., Conc., Br., etc.) oc
Total Sq. Ft (-20�g Valuation 2�7 COA
Chimney Fireplace .2
( ind) )) (Number
Int. Wall Finish v'' va- .9//
No. of Units _ Bedrooms ,72
Stories imensi�on1s
Rooms /C Baths /� Basement Foundation Const
Full, part, none`)
Heat. System %- Type of Roofing /C 4..
Use of Bldg.
PLOT PLAN
Draw sketch with d sions 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
•
I hereby c,
as shown.
ify info,
State License No.
x,22'-6/- /' <<
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit Ph)
Sewage Permit L a q(? 2J�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
tion submitted 4s correct and there are no other structures located on this property except
/—e--9ci'— 7'
Owner r Age t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0/14.1 11t1 -y.01!) DO NOT WRITE BELOW THIS LINE
Your street address will be 1-47
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt
a41Gl
Issued
Form 523 Bldg. Code
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