1977, 02-01 Permit App: L6805 Residence-
C tY of SPokaneR , WasA9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .6
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 mubt conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Nater 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 a
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 ingres
and egress.
COUNTY ROADS. NOrk on Street right -Of -Nay 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 �-q..`'
Name of Owner
Architect
Engineer
Contractor _
Legal Descriati
(Give complete descr
Address .0 S 60 C, d Ai e T /A n at Phone ? 0-1 - 4-/-!%
Address Phone
_ Address Phone
_ Address ✓ •+ Phone
,
from d ed, tax receipt, etc.)
.-
0#44_,7 -/—?- 0
DESCRIPTION OF WORK:Nj
Addition
Remodel Moving Bldg. Zone �— Fire Zone _
x
Size of Lot ��% Jt �SU �r-
Stories Dimensions .. J
Rooms Baths Basement
Fup�I, part, none
Sewage System Const.
Br-., etc.) a
Total Sq. Ft. (Valuation �rJ
Foundation Const. Chimney �' Fireplace
(Kind) (Number
Heat. System .�
Use of Bldg.
!'
e
Type of Roo ing
/ .L
Ext. Finish Int. Wall Finish bIv IJaI %
No. of Units — Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines. -_
M
N
(3) location of existing and
(6) location of sewage sys-
NORTH RESIDENTIAL - COMMERCIAL State License No.
__-/--Z
.See, 14 Ha cked S-XAe
I hereby cert
as shown. /
Ind. Ins. Acct. No.
OK D F �F
REQUIRED
Plumbing Permit Are -G4
rrr Heating Permit
a
V1Sewage Permit n -i r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ion submitted is correct and there are no other structures located on this property except
Owner or Agent l Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT Wit►?E BELOW THIS 1.1"s
Ii yi �w
1
loth street address gill be / ! / Z ] f` �. (.� ,----The zone is .10
Sewage Permit Number Issued Building Permit Receipt J__
Issued
Remarks
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