1976, 05-10 Permit App: L3722 ResidenceAntY P of Spokane, 'asin9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
PERMIT FEE
GENERAL REQUIREMENTS
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 BELOW THIS LINE
Name of Owner
Architect
Engineer
Contractor
Legal Description of Propert ( • e complete description
ress l'8- // - 6 -- Phone V
Address Phone
Address Phone
Address
from eed ,ax rec 'pt, e c.�
O
DESCRIPTION OF WORK: New Addition Remodel
Mov'n
Sim of I,gt 8'? A / he 'y.1 D /I' /D 4 %/G 4/3 ',f'/Of
Dimensi s 8 -1
r7j
Stories
/1 _ Room, Baths
Heat. System
pe of RoofingExt. Fini
Use of Bldg.
Bldg ;Zone / Fire
ge System %Const
r., C�
Total Sq Ft...37gY Valuati
Baseme ion onst
Chimney
Zo
c., Br., etc.)
on 6� o
Firepl
ace
Fu I, part, (Kind) (Number
Int. Wall Finish
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.
LG�
NORTH
IDENTIAL,L COMMERCIAL
SOUTH
State License o.
Ind. Ins. Acct. No.
RErD
Plumbing Permi
rn Heating Permitt�^� t7�
• Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�,.� �ereby certify information submitted correct and there are no other structures located on this property except
as show.
Ohne or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be 7 �r �' f,
Sewage Permit Number Issued Building Perm
Remarks
DO NOT WRITE BELOW THIS LINE
/c
•
The zone i
& 712- Receipt .SSS% Issued
Form 523 Bldg. Code
"-al" c.nmd 261b e0on
10811 a k.9
Spokane, Wish. 99206
'JOE NO. 24
ADDRESS:
LEGAL DESCRIPTION:
Lot 6, Block 3
Myron Esttite8 #5
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