1976, 04-05 Permit App: L3223 Residence• •
Canty of Spokane, WasRgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201 ft D
APPLICATION FOR LAND USE 011 STRUCTURE PERMIT '734
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 ar 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.
RATER. 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 4T.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. Rork 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 OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County ar 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
Legal Description of Property (Give complete description from deed. tan receipt etc )
Address
Address Phone
Address Phone
Address/ Phone
Phone 9.41- 7446
DESCRIPTION OF WORK: Nei/ V Addition Remodel Moving BIJJee''g. Z e �_ Fir`jgne
Size of Lot FCO X /2ii f Sewage system, aiJ Co siCtoncisamet
.. Br., etc.)
Jig
Stories 3_D imensions Zia )(SO
2Q eliSg n -}- Total Sq Ft•• —yr����-.�rp--pp Valuation 44004
Ropes Jr_ Baths 2 Basement Foundation Const ` eJC(l. Chimno7 .1q! Flr�place 1
Full, part. none) _ (Kind) N Ir'(pTber/)/f
Heat. System Full,
o[,$oofing- Ext Finish Int Wall Finish Bed erripJ(X,
Use of Bitl i lllJ 6ir.I No of Units _Bedrooms it"
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 s - — 5) dimensions of buildings; (6) location of sewage Sys-
tem and water supply lines.
NORTH COMMERCIAL
U TH
State License No.
,OK ON F/Ar
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
Ye
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana Mailed
fy information submitted is correct and there are no other structures located on this property except
Rene ofnt Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(94/ -74{,0 402
DO NOT WRITE BELOW THIS UNE
Your street address will be //�%�( et seitrit The zone i
Sewage Permit Number Issued Building Permit i)31� Receipt GC Issued
Remarks
form 523 Bldg. Cede