1976, 03-08 Permit App: L2881 ResidenceAnty of Spokane, W gton
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 structu of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform �ith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Plater 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.
nd
ents
ng with the land
which lareVenforcce ble throughrciviluld check action. countysions officialsocanants or not bringdactionntoaenforceecovenantslor dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Ow .r MUU1Vaa - - - - - ------ -
Architect y, :. Address 15��Z U%� Phone f=4 't J
Engineer Address Phone
Contractor -� K �- Address Phone
Legal Descriotien of Property (GruaQxL�ution from deedtax receipt etc.)
DESCRIPTION OF WORK: New Addition - Remodel Moving Bldg. on �— Fire Zone_
Sewage System onst.
X -� / Por., Conc., Br., etc. po
xes t Dimensions 1"�x Total Sq. Ft. Valuation 57—
Rooms BathsBasement (Kind) Foundation Const.. l/ Chimney Fireplace
31, part, none G�
Heat. System 0,Lk Type of Roofing Ext. Finish < Int. Wall Finish -�
Use of Bldg. No. of Units—Bedrooms —
Draw sketch with dimensions showing:
proposed buildings; (4) distance to prop
tem and water supply lines.
>J T
PL&T PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - OMMERCIAL State License No.
SOUTH
I here ertify info Z
a shown
/ON16er or Agent
A LAND USE OR STRUCTURE
THIS IS NOT A PERMIT.
. , -7,14,1 m 'i�l ///a
Your street address will be
Sewage Permit Number
Remarks
L
Ind. Ins. Acct. No.
71
REQUIRED
Plumbing Permit _ r
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed _
ubmitted is correct and there are no other structures located p this property except
Date
IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
�'7 )� The zone is
Issued Building Permit c� Receipt Issued
MY) -6 ti ,- SXAt s