1976, 04-28 Permit App: L3571 Residence0
Cftnty of Spokane,
0
Was>on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6
GENERAL REQUIREMENTS PERMIT FEE ___________________________
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.
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.
APPLICANT FILL IN BELOW THIS LIN
Name of Owner r 1 Address �� / � � Phone S2'!Z--Z,0 S"A 3
Architect Address r . , r.. Phone
Engineer Address _ Phone
Contractor 1a/1/SliJI1 J/06 Address
Legal Description of Property (Give com ete description fromeed, t x receipt, etc.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bld?I
Zone
{
Size of Lot 7�� X Z7 %7 Sewage System r Fire Zone
7% �— Const. {<�
For., nc., Br., e
Stories imensions �G� Total Sq. Ft, 6 3 Valuation �" /_C,(7�
s Bath BasemeK*.
-Fo ation Const. -� �'C ChimneyA/A Fire ace
� �Full, part, r (Kind) (Number /� J
Tieat. System Type of Roofing Ext. Finis r Int. Wall Finish
Use of Bldg. No. of Units _ Bedroo -
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 street mens ions of buildings; (6) location of sewage sys-
tem and water supply lines.
C) NORTH RESIDENTIAL - COMMERCIAL State License No.
G / — /
Ind. Ins. Acct. No.
I hereby certify
as shown. l
•-�
17XJS0UTH
I"
10
N
REQUIRED
Plumbing Permit,;;' ._M-
Heating Permit��� �yZ
Sewage Permit _
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this,property except
Ownei< 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
7
Your street address will be �� f� `-s� The zone is
Sewage Permit Number Issued Building Permit 3:S / Receipt.-IIssued
Remarks
Form 523 Bldg. Code
Today's
date:
;Re address:
ORIGINA ;ITE PLAN
'm proposing to build:
Parcel number or
legal description:
snow'IiOR77r
FI
tinting an arrow
�.iad an "N". ao ooe'
or the above hnuS :
(Act'
i
snow.
1�]L
•
.O , 0S
•
inry 1^Iavr•, 0.01
..0-, S S
91'.,'1 lrriivv, •14v $,
-r
,ry ynlis,x3
0
kMl_
JV.rjTr IS'
000
3 .o- ,ea
J
— 3i
0
n •
8
g
4.-
41spOZw O
!1 m w o
oza �>
co0Ow
<[ N CC CC
No
�GLr � cE
—
ADDRESS:
ZONE: = _ - `
ROAD WIDTH, !eO
FRONT-
OMMENT
- - 'F\i!EWED. Y.