1976, 03-29 Permit App L3128 Residence, GarageAPPROVED AS NOTED
Spokane County Bldg. Code Dept.
Cddnfy of Spokane, Washing 3 ° �'
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE; -WASH WG'T .
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
kind or alter any building or structure already erected, or to change a land use. Construction must
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
structure of
conform with
any
the
Name of Owner _ % ' .' AddressP� —`���C
Architect Address Phone
2
Engineer - Address Phone
Contractor Address Phone
Legal Description of Pr erty Give complete description from jieed, tax receipt, -
LL% /b GCL7e�
DESCRIPTION OF WORK: New 3 Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot /G � >( 4 4/ r Sewage System ons
y�' ✓� �/ (Fr., C , Br., etc.)
/� otories. Dimensions :2y�3 �� '2� Total Sq. Ft/ L��� Valuati n j!� G� GG
Rooms? Baths yam— Basement -ram Fou dation Const.. �� - �—< //�
T.1I Full,part, ngne) Chimney Fir lace
S _j (Kind) (Number
eat. ystem ,LType ofRoofingExt. Finish Int. Wall Finish ��—�
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
em and water supply lines.
(::::1142/
m
NORTH
No. of Units _ Bedr ms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
._y
/a
SOUTH
46
f16y
.yr
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
yVSewage Permit
a-�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ceftify informa ion subited /correct and there are no other structures located on this property except
as shown.
-
Own r or Agent Date
A LAND USE OR S UCTURE PERMIT MUST BE CN THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be / ' C7 8. i YL;__�z <_ , The zone is
Sewage Permit Number Issued Building Permit / 3/a.9 Receipt e' �.i ' ' ssued
Remarks
Form 523 Bldg. Code