1977, 01-03 Permit App L6633 Residence, GarageCt.inty of Spokane, Wash►l igton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / 6
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner--c�i��%li/�L ��'-/L//�LJ//L!%[ / dress �//4 J ` (-Gl/n/' Phone
Architect Address Phone
Engineer Address Phone
Contractor
Address L
//) e L I/ c
I TUC Ira 1-.t
„iLL/ie Lj e-ltl;;k
�--�
` D S' RIPTI � F WORK e4v � Agi ,T
Size of Lotilai4 X .SS xi' x4X 74)46 fJ
Le al Des ription of Property (Give complete description from de d, tax receipt, etc )
•
Stories _L_Dimensions
Rooms 7) Baths / Basement
(Full, part, non
Heat. System go Type of Roof)ng
Use of Bldg. .ICf 6` �YGZe
Phone
t :1 _/
e oriel IVloving 1Idg. Zone i9- 1 Fire Zone
Sewage System 4 44 Const. j>%-- i ' (2,
Fr., C t c., Br., etc.)
2---� « fj,', i T ' C` Gamic' . Total Ft/VW T I S
Foundation Const (e t Chimney aluation F•irepacI /L'
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water su 1y nes.
�� a" .• *ORTH
I herebyyodrtify i
as showirN
(Kind) (Number
Ext. Finjsh - Int. Wall Finish6:!'%✓�
C6� X G`�l
/� No. of Units BeBeoms
PLOT PLAN f e,,i t:.e .'Li 7,5.1" -
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
ormatipn submitted is correct and there
3 -0 '2''
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit h >l
Heating Permit
Sewage Permit
/"-C12(c7 6
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
/ 7- 7 7
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will bee j p'S' i - \ ,i i.
Sewage Permit Number
Remarks
grne or Agent
DO NOT WRITE BELOW THIS LINE
The zone is at
Receipt Issued
Issued Building Permit
Form S23 Bldg. Code