1976, 07-14 Permit App L4685 Residence, Garage�rµsynn� FILL IN ocwo �y., ��
APPLI ANT BELOW T IS r/�6
�i Address
.� Phone
Address
Address
Address
•
s ton
C my of Spokane, Wa g
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 mast 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 47235.
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(_I
Architect
Engineer
99 6
Contractor
Legal Descri tion of Property (Give r,pmplete description from deesj, tax receipt, etc.) --
69-$D8 `S N N!e-J J oactKlock z7 y
Phone 944 9s 3-6—
Phone
Phone 4�
DESCRIPTION WOK: New ✓ ddition Remodel Moving Bldg. Zone
r/II Sewage System onst.
Size of Lot x�¢� %- o/' ,` % FFr., C nc., Br.,,p etc.) _
Stories Dimensions /4/r1k7)'C' , 24F 10 f te��-�- Total Sq. F 44 -41 ValuationoZxl�'
Rooms Baths Basement ee Foundation Const C '- 'C'i / Chimney Fire lace �p
(Full, part, no 2
er
Type of Rypfi�g��* #// `/ 4 /Fih4(, IntNo. Wof U iisi
-77{C %f' 4'7 P Q �1'd.fv . No. of Units Bedrooms
PLOT PLAN
Heat. System
Use of Bldg.
Fire one 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
as sh
I hereb s rtify in
NORTH
property lines; (2) street or road locations;
lines and streets; (5) dimensions of buildings;
RESIDENTIAL — COMMERCIAL
SOUTH
tted ' correct an there
(3) location of existing and
(6) location o sew sys-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up _
Plans Mailed
are no other struct7/6
loc
ed on this property except
/ 76
Owner 7Agent Date
A LAND USE OR ST TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
AAA; -14 .a yQ.g
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LI
The zone is
Receipt
COMMENCES.