1976, 05-11 Permit App: L3748 ResidenceCanty of Spokane. Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building of 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.
TATER. Water supply must be approved by the County and State Health Departments. Where work onnter 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 Noe. 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 pertdining 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
Name of Owner
Architect
Engineer
Contractor
Syr
Leal Description of Pr•perty (Give complete description
Address /HO Da 6 q7 -F7(1/‘ Phone 9a6-6 s.23
Address Phone
Address Phone
Address
Phone
om deed. tax receipt etc 1 0 HA/4/ 9 —706 3
DESCRIPTION OF WORK: New 1/ Addition
Sae of Lot /50 M. a Ta
Remodel
Moving Bldg Zone
Sewage System
Fire Zone 3
pont. fta- -^-'
(Fr.. Conc.,/y6 .,etc..))
pL / 2- O.GI i• Total Sq Fc' Z— Valuation 01
a
+ q
Foundation Const.(` o e(
Stories Dimensions G
Rooms Baths 4 Basement/ / /
(Full, part. none
Heat. System
Use of Bldg.
Type of Roofing
Chimney (Kind) Fireplace
(N
uaa
Ext/Finish 7--/// int Wall Finish OQJ
Ex/
No of Units —Bedrooms e
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.
NORTH
RESIDENTIAL - COMMERCIAL
y7"t e- SOUTH
I hereby rtify info mation submitted is correct and there are no other structur s located on this property except
as shown% -%��
"/&Z gentiU at /r//.
Owner or Agent ate
A LAND US OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
4�-0 DO NOT WRITE BELOW THIS LINE
{�-
Tour street address will be es, /6 7/ 9'=s/ frit6 ia�¢ The zone 1e,�A r amie
Sewage Permit Number Issued Building Permit Receipt i� issued
Remarks
State License No.
dn .cLct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Malted
-'e Form 523 Bldg. Code