1976, 08-16 Permit App: L5116 Residence4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �/
GENERAL REQUIREMENTS PERMIT FEE .__J_�__�.T_________________
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.
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.
1___, APPLICANT FILL IN BELOW THIS LINE CG_ �.�
Name of Owner
Address ZL24�W- _C2
-2 -j :::iX Phone ` -W d' 'Sl
Architect
Address
Phone
Engineer
Address
Phone
Contractor // /iii -f
Address
—� Phone
Legal Vescription of Property( (give compute description frorp tax receipt, etc.)
DESCRIPTION OF WORK: New 4--' Addition Remodel Moving Bid . Zone Fire Zon I_
Size of Lot 90 �j96-el-J6. f Sewage Syste
Fr., Co Br., etc.)
Stories -/—Dimensions dXa-3 Total Sq. Ft � Vaalluuatio
Rooms Baths Basement F ndation Const.. Chi mney�?� Firep a �'
Full, part, no y�� (Kind) (Number
Heat. System Type o Roofin Ext. Finish / — �l/ Int. Wall Finish
Use of Bldg. Gy%'f No. of Units 1 Bedroom __&,3.'
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road lots ons;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem sand vatpr Rnnnly 1ineR_
Deern OnITIA1 - f nf%M lERCIAL
(Z6
on
30
N
1
(3) location of existing and
(6) location of sewage sys-
State Licen No.
Ind. ns. Acct. No.
REQWUD
Plumbing Pnz
Heating Permit
Sewage Permit _
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed _
SOUTH
I hereby certify information submi d correct and there are no other structures located on this property except
as shown. Z7
Own or 11 Agent, Date
A LAUD USE OR STRUCTURE PERMIT MUST BE N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE r
Your street address will be The zone is
Sewage Permit Number Issued Building Permi Receipt Is ed
0,.,... S9Q Rid., f--,4-