1976, 09-20 Permit App: L5474 Residence0
VY Count of'Spokane, Washington o
e, BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ___________________________
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 Address qQ Phone 4725 2 7„
Architect Address Phone
Engineer Address Phone
Contractor O'121 A Address Phone
Legal Description of Pr a ty (Give complete description from deed, tax receipt, etc.) _ %^C Z' ® y*4 /a
DESCRIPTION OF WORK: New Addition Remodel Moving Bid Zone Fire Zone
Size of Lot ` Sewage System Const. •.-.�-r' 04 k" e.
/� ��,,.�, Fr., Conc., Br., etc.)
'Stories imension - is 5 Total Sq. Ft.,2/00 Valuation l.�!'k>
Rooms � Baths Basement � Foundation Const. �; .1-,- 7% —Chimney 'Fireplace
Full, part, none _ Kind) // (N /,ber
Heat. System Type of Roofing cj, i Ext. Finish & r Z"NV Int. Wall Finish 5fl *ry MA
Use of Bldg.fl LB1 14_. - I—A I No. of Units Bedrooms
PLOT(�LAN %
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 street!{ dimensions of buildings; (6) location of sewage sys-
tem and water suoDly lines. N
NORTH / RESIDENTIAL —
1
H
�z
�d SOUTH i
AL State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
M Heating Permit
110
N
Sewage Permit Ie
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information u .tted drrect an here are no other structures located on this property except
as shown.
Owner 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
Sewage Permit Number Issued
WRITE BELOW THIS LINE
Building Permit
The zone i `5_
Receipt Issued
r,.,.., to -i nw- r --j-