1976, 05-21 Permit App L3963 Residence, GarageC�of Spokane, Waste ton
nty � p 9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT'
GENERAL REQUIREMENTS
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.
APPLIC FILL IN BELOW TH, S LINE ylya/4
Phone •�- ___
Phone
Phone �' �
Phone c.j-0e?
Name of Owner i ' ; � / , 4. _ _ - - _ ddress
Architect Address
Address
Address
Engineer
Contractor
Leg Des / own of Pro
PERMIT FEE
(Glec/ �
pletq c�Q�ig�i fro�deed, tax receipt, etc 1
4.44-45 J4 ,
DESCRIPTION OF_W RK: New Addit one Re ddel Moving
Size of Lot `9 6-I X / 3.1 ' q, x 137 ' Sewage System
Stories L Dimensions s i. Z
L Rooms ZBaths 1 Basement
(Full, part, n
Type df Roofing . _ �� Ext. F' ish
C-2.7.4.4,_Y12, '12-C.d LIr r(
PLOT PLAN
Heat. System
Use of Bldg.
act
Total Sq. Ft
Foundation Const S ��i2L' Chimney
g. Zore / Fire Zone
,.....� Br. et-
Valuation ,2�757 —
= Fireplace
(Kind) �� ( umI r
Int. Wall Finish ``uZ Z
No. of Units L 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.
l RESIDENTIAL' — COMMERCIAL -
as sh
NORTH
Plumbing Permit
Heating Permit
Sewage Permit
REQUIRED
L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informationubmit)ed is correct and there are no other structures locat dd on this property except
Owner or Ag6n Date
A LAND USE OR STRUCTU PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
'0O r 7/(.. ..Q
Issued Building Permit NV
The zone is144�.�r✓u alb'
Receipt t),J S Issued