1975, 09-02 Permit App: L1372 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
a)
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 mus) 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 Stte
Hi hway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACESSORY 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
wh h are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE ,(_,94oie
f'ze-,5762
Name of Owner, s' n h C /? p,r r +' Address % .Y = <I"Phone
Architect / Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ( 04 44� — C 6 0 7 )
L 1 J /J 7)-r�,V Z L
DESCRIPTION OF WORK. New Addition Remodel
Size of Lot i--;-
Stories _Dimensions 38 X to b
Rooms BathsBpeBasement y Foundation Const Co ,vc e e i` Fu 1nve
Heat. System F A f eci Type of Roofing 5,4 14 k- s Ext. Finish
w/r-1s
Moving Bld
Sewage System
Use of Bldg.
PLOT PLAN
. Zone I Fire Zone 3
(Fonst. F i
r., Conc.irBr., etc.)
Total Sq Ft 3 q C Valuation 14 Cc,
Chimney(K. d) Fireplac (Number
Int. Wall Finish ciQy/l/4/
No. of Units 1 Bedrooms 3
Draw sketch with dimensions showing: (1) property lines; (2) street or road location; (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.
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NORTH J SU
RESIDENTIAL — COMMERCIAL
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N.
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I her_.y cert
hown
SOUTH
in orma ubmitted s rr
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Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
m
fA
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ct and there are no other structures located on this property except
2
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
6
DO NOT WRITE BELOW THIS LINE
Your street address will be /1 7 0 '
Sewage Permit Number Issued Building Permit
Remarks
The zone is ')
.i)1 3 %'-Receipt Issued
form 523 Bldg. Code
PORTER ENTERPRISES, INC.
General Contractors
Oovri 2010 aunt Rows
11.40.49 920.1902 SPQKANE, W.A.H. 99210
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