1976, 05-03 Permit App: L3627 PoolC*nty of Spokane, Wasitgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /- 0
GENERAL REQUIREMENTS PERMIT FEE ___Y
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 'pith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
MATER. 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 47735.
SET -BACK FROM PROPERTY LINES. In most zones and under mast 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 'pith stakes. Points of ingress and egress most be approved by the County Engineer.
MOVING OP 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 lend
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.'
APPLICANT FILL 94 BELOW THIS LINE
Name of Owner ,a Address _(2112._ 133. r 3Z Phone
Architect Address zis 190/6 Phone
Nr(10 )14)4414
• -/
92R -/96' -
Engineer Address
Contractor
Address
Phone
Phone
Legal Description of Property 1G gompl to descciip�tjon fr m deed. tax receipt
esq., r9 ads z — 70 (a3
a 91-S.
DESCRIPTION OF WOR Addition Remodel Moving Bldg. Zone Fire Zoneon
Size of Lot �%Q X oo Y /r�1( 240 Sewage System (Fr.. Concl-6R, etc.)
// a✓ 8'-- Wi t' 3a''+- 3'X30' SA/0 3a 4
Stories //`Wimensions - 3 Total Sq Ft Valuation 4 %00
Rooms Baths 2— Basement Fotn ation Const in✓O 20 i e' Chimney / Fireplace 7—
Fu 1. partnone U,h tLLL (Kind)
(Number
Heat. System F A P/eci Type of Roofing c- V P Ext El ish Int Wall Finish cll.-1/4f, +p
Use of Bldg. _ /=>� ,f.0 I�PNr4 A) tS-4J . .� No of Units_Bedrooms S
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 ofseweg s7a
tem and water supply lines. 0/ G/%
/ OMMERCIAL State License No.
00 ..23 —D 1—/3 ,fS'S
x.
hereby c
as sh
ion. .it ed
Ind. Ins. Acct. No.
REQUIRE
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other str
NSIle
acated 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.
AH, -44) DO ''NOT WRITE BELOW THIS LINE �1/
The zone is X/•
AT;JI"t/T Y/ a/."�✓" •v/
Your street address will be
Sewage Permit Number Issued Building Permit L 3147 Receipt £4J 0 --,Issued
Remarks
orm 523 Bldg. Code