1976, 07-13 Permit App L4678 Remodel0 0
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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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 connect Sons 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 most 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 i 4lL'`� �a . Address
Architect Address
Engineer Address
Contractor _M9 Address
Legalcripti/on of Property (Give mplete descri pti from deed, tax receipt, etc.)
DESCRIPTION OF. WORK: New Addition Remodel
Size of Lot! � � � � -t
Stories —Dimensions
Rooms _ BathsBasement Foundation Const..
Fu I, part, none)
Heat. System Type of Roofing Ext. Finish
Use of Bldg. A- —,� _ _ /) I„I. �,Q�
Phone �
Phone
Phone
Moving Bldg. Zone Fire Zone
_Sewage System, onst.
T— �FL, Con
,c�Br.,� e[c.) a
Total Sq. Ft. Valuation Tm. �r'S� --
Chimney (Kind) Fireplace
(Number
Int. Wall Finish
No. of Units _ Bedrooms
�1 C__z 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 and water supply lines.
NORTH CRESIDENTI'AL-OMMERCIAL State License No.
ro,// Ind. Ins. Acct. No.
I
N
V
I hereby
SOUTH
REQUIRED
Plumbing Permit
wr Heating Permit
NSewage Permit
�1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is corXect and there are no other structures located on this property except
_....... ... .,ems,.. 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
Remarks
Form 523 Blda. Code
Issued
DO NOT WRITE BELOW THIS LINE
' — The zone is e
Building Permit iJ/1( —_The
19_57Issued