1976, 05-18 Permit App: L3870 ResidenceAty of S okane Wase ton
Spokane, 9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992014 �_0,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
''�73 /
GENERAL REQUIREMENTS PERMIT FEE ___________________________
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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.
NATER. 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 LINE �y �' J
Name of Owner
Architect _
Engineer
Contractor _
Legal Dgscripti
AddressZ-
Address _
Address _
Address -
description from deed, tax
i pt,
Phone
Phone
Phone
Phone
-2iAC
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldone Fire Zo e a
Size of Lot ,Ze zf .4 S - y Sewage System.
Cr�F., C Br., etc.)
Stories/—Dimensi ns Total Sq. Valuatic G v v
msBaths Basemen Fo dation Const.. �-- Chimney Firepl a `�-
�� Full, part, no �`' (Kind) (Number 1
Heat. SytS em /Type of Roof in Ext. Finish ^/ Int. Wall Finish4
Use of Bldg. No. of Units _ Bedroom
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locati
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buil
em and water supply lines.
NORTHRESIDENTIAL - COMMERCIAL
��0 SOUTH
ns,;. -¢3) location of existing and
[Cgs; (6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
REQUIRED ,,
Plumbing Pere
M Heating Permil
30
{A
Sewage Permit
Plans Received
Plans Checked
Plans Returned.
Plans Picked Up
Plans Mailed
I hereby rti i formation submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent ` Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT. �, "\
i/ Jam DO NOT WRITE BELOW THIS LINE 1::;
Your street address will be
Sewage Permit Number
Remarks
Form 523 Bldg. Code
Issued
Building Permit
The zone
Receipt,