1975, 08-18 Permit App: L1240 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITy��t r J
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 BE W THIS LINE
Name of Own. . i 4L / x _ Address
Architect Iba /Jllllfi , ._- Address
Engineer / Address
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) 44-I' O S<-9'•Ka — ..-",0 ns -
Phone
Phone
Phone
DESCRIPTION OF WORK: New %C Addition Remodel
Size of Lot • 0-901
Stories q Dimensions �1• e L�� — ..Foundai Const. Rooms / Baths 3' Basement— Foundati• Const-
/ F (I, part, none -
Type of Roofing
oar-tna /.�
Heat. System
Use of Bldg.
Dying B . Zon Fire e
wage System Const.
IF..0 c.. BBr. etc.)
X 4 z Total Sq Ft ef Valuation 'y"a ACt!.._,
Chimney Fireplace( e
t Finis f•/l.Hej Int. Wall Finish
41.49/L''/// / No of Units_ Bedrooms
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 streets; (5) dimensions of buildings; (6) location of sewage sys
tem and water supply lines.
QI In
tcl
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Periat
Heating Permit
Sewage Permit to
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I bereb cer fy information submit ed Ss correct and there are no other structures located on this propefty except
as show W.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
@,H. aa DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number
Remarks
ssued
The zone is
Building Permi Receipt MU? Issued
Form 523 Bldg. Code