1993, 11-09 Permit 92000111 InspectCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3�
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.
whilVerle Builders should
provisions covenants
dedications and easements
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hare nforcebthroughcivlaction. CuntyOfficialscan not bring action toenfoecovenaor dedications.
APPLICANT FILL IN BELOW THIS LINE f
r:7 /7 7rr--� _ c if _ _ l Vin.. `� h.F r/Phnne
Name of Owner fAl I
Architect /pp,/pone Engineer _
Contractor&ry Qlyj��.^4� /7'Y �1eJ Address /4�/L i✓�2
Legal Description of Progpyrity (Give completed iDt i9n from deed,
tawe�eipt etc.)
LZ /w eT /,
re e /' 37 S -O
2-17�
DESCRIPTION OF WORK: New_S� Addition Remodel Moving Bld . Zone / Fire Zone's
Size of L1oo Sewage System I.L C Stories
Const, 40 � � Dimensions re — Total Sq. Ft. �7� /�'wSCValuation
(Frame, concrete, brick tc.) I/} ' X4"07 Z
Rooms— Baths Basement Foundation Const. /' 0 /1 C / Ch�inney �2tFireplace
(Full, part, none) C� A fL. Int. Wall'F (Kind)
(Number)
Heat. Syste Type of Roofing A Ext. Finish
Use of Bid- " S i Lk
e ✓1 G (/' No. of Units Be ooms
CPLOT 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 and water supply lines.
LiNo
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N
H
NORTH
I he
as shown.
State cense
ay -e -4 d
Ind. Ins. Acct. No.
A
REQUIRED
Plumbing Permit.Au 1- //P
Heating Permit "(
NSewage Permit
y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is cg;rect and there are no other structures located on this property except
3- 7- 79
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
. , , „ ., (�' DO NOT WRITE BELOW THIS LINE
Your street address will be �r U �
Sewage Permit Number Issued
Remarks
form 523 Bldg. Code
Building Permit
The zone
Receipt ;3g�7F.Issued