1976, 01-22 Permit App L2466 Residence, Garage, DeckCornty of Spokane, Washington
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.
Name of Owner
Architect
Engineer
Contractor .
APPLICANT FILL IN BELOW THIS LINE
Legal Description of Property (Give complete description from deed, tax receipt, etc.) t/ --bit
Address ! 3ll-r - / 4 6-- 76
Address Phone
Address Phone
Address lrlj Phone
•
GLe, Q 9 '/
Phone 1-6, -.L3-Z
DESCRIPTION OF WORK: New Addition
Size of Lot P.-
i 6 1e Jl n Fr., Conc., Br. )
Stories^� Dimensions S='X1f1! 1."Y� Aid ieX 'O./ ECK -� Aif?'"� otal Sq. Ft. /� Valuation tag 0�0
] Rooms _ Baths BasementkIZ Foundation Const
(Full, part, none
Ty of Roofing
R
Heat. System
Use of Bldg.
emodel Movin•g Bld . Zon 0 Firms one
Sewage System onst�=�X`����C�-f
--J
( etc.
Ext. Fi ish
di4P ,P
PLOT PLAN
Chimney � -��,_j_� Fireplace 11 1
( id (N,�!mbeX
Int. Wall Finish L,kf "W _
No. of Units _ Bedrooms
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.
ere
NORTH
(ESIDENTIAI- COMMERCIAL
SOUTH
I hereby certi y i. ormation subm
as shown.
Owner or Agent
f)
orrect and there are no other
iO
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
- -c,
Date
A LAND USE OR STRUCTURE PERMIT MUST B N THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / / -,f '
Sewage Permit Number Issued.,
Remarks ( %( 145 o iL '(14)
Building Permit
The zone is /, t c L &1u -
Y' C Receipt/ q Issued
Form 523 Bldg. Code