1976, 02-09 Permit App: L2595 Residence,i
ClAnty of Spokane WasIgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT o0
GENERAL REQUIREMENTS PERMIT FEE _____ _ ___________________
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or tructure 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.
NATER. 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 If V Address 41,304 S - F PC k G 112fif ll: Phone ' 4Z lk 5
Architect Address Phone
Engineer Address Phone
Contractor Address JS 10 3
Phone
Legal Description of Property (Give complete description from�ed, tax receipt, etc.) rL4
DESCRIPTION OF WORK: New _ Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot %6G'—/3/' X /-r? ' X /3 Z' Sewage System `S• T �FrnsConcB to c..1,,
Stories _Dimensions 74 x 3d, d CL2 Total Sq. Ft. � Valuation.
Rooms Baths Basement 42 // Foundation Const. Chimneys 'X Fireplace 2e
(Fu 1, part, none) / (Kind) (Numb r
Heat. System 1 ' - f i Type of Roofing `SOJciR2S E t. Finish Int. Wall Finish
Use of Bldg. 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 acd streets; (5) dimensions of buildings; (6) location of sewage Sys-
tem and water supply lines.
N
I hereby certify information
as shown._.�y, g # , i
NORTH "'RESIDENTIAL —COMMERCIAL
/u6
OUTH
Im
a
rn
-4
State License No.
3- G/- /
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit _
Sewage Permit _
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures,located on this property except
.IF Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
,%J DO NOT WRITE BELOW THIS LINE
Your street address will be J e zone i
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
Form 523 Bldg. Code