1976, 01-05 Permit App: L2387 ResidenceN
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WHINGTON NZ91
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT e,
GENERAL REQUIREMENTS PERMIT FEE ........................:i.
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 mast 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 . -c 'H a �3 fa—
Name of Owner Address l Phone 7�
Architect Address Phone
Engineer Address Phone
Contractor Address Pho e
Legal seri ion of Property (Give co �fl/eJte description from deed, tax receipt.
DESCRIPTION OF WORK: New _11:� Addition Remodel Moving Bid ne Fire Zone
Size of Lot f (v iC % n _5, C, Sewage System t.
/ r., o r., etc.)
Stories Z_Dimens rS _2(_Total Sq. Fc _ Valuatiol C,G2
Rooms B th Basement Fou a 'on Co St. himney Firepl
s part, no neT (Kind) (Number
Heaf. System "� Type of Roofing 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem nd water supply lines.
NORTH SIDENTIAI — COMMERCIAL State L,iccens No.
C - ,
Ino. Ins. Acct. No.
REQ�P f
Plumbing Permi ,�—
M Heating Permit
m N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH 4�
I hereby certify information subm' -ed is cor t a there are no other structures located on this property exc pt
as shown.
16wner or Ag Date
A LAND U OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS T A PERMIT.
DO NOT WRITE BELOW THIS LINE
t
Your street address will be % The zone i
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks
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