1976, 01-23 Permit App: L2475 ResidenceCitify of Saone, WasSgton
BUILDING CODES DEPARTMENT, NJEFFERSON,
N. 811 SPOKANE, WASHINGTON 99201///J /S 60
APPLICATION FOR LAND USE OR STRUCTURE PERMIT lHN (/ v
GENERAL REQUIREMENTS PERMIT FEE -
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 vork 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 Non. 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 Ingres is
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.
t MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a Cotmty 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.
;�A APPLICANT FILL IN BELOW THIS LINE
Name of Owner 1)'Co'Ce is&l,eA caont.,dhs S Address t C LL :la c: A- Phone C 1 f ) 7
Architect Address Phone
Engineer -
Contractor
"MSL.
Address Phone -
Address
L•_al Description of Property (Give complete descri tion rom deed, tax receipt etc
Phos -AO." -i
DESCRIPTION OF WORK: New /------ Addition Remodel Moving Bldg. Zone / Fire Zone ",
Sewage System S gDost. f-v't - o -
Q (Fr.. Conc.. Br.. etc.)
StorieS AS Dimensions 2t'X.5 2' .D,2- X. .2 -) Z Total Sq Ft. Valuatio
Rooms Bathe Z Basement Foundation Const CO ,i r ii -Q Chimne it Fireplace a
(Full, part, none /% ///� (Kintl (Num er
Heat. System Type of Roofing <J.c�st,-r/K_R—. ®Ext. Finish kRus�tq Int Wall Finish
Use of Bldg. . ern -,o 1e nf./ P/// �l No of Units _Bedrooms
Size of Lot /001 O(. / 3 O ,
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road lodatlone; (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.
tn
H
NORTH RESIDENTIAL—COMMERCIAL
I hereby c
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
yyr Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plana Mailed
ed Ss correct and there are no other structures, located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. ,��1
(int i 42lyV
7
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
Building Perm
dr
;he zone
d,'{'71 Receipt
cit
Form 523 Bldg. Code
Sa‘t1_
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