1976, 07-01 Permit App L4553 Residence, GarageCanty of Spokane, Was ton
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 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 IN
Name of Owner
Architect
Engineer
Contractor
Legal Qes
1
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(Give mplet
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Address
Address
Address
Address
ption from
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Phone924 6-0 9/S"
Phone
Phone
m ees tax receip e 1 �_—FrF
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DESCRIPTION 9F W K• ew
Addition Remodel
Size of Lot �!f
.•
Moving BId
Sewage System
Zone Fire Zone
onst. L'/I (('
Fr., C c., r.,
l`
etc.
1
y Total Sq. Ft Valuationv4 ' %S a
Basementc ���i _ Chimney (Kin it lace(6mber`,
Int. Wall Finis
No. of Units Bedrooms
1 r
Stories Dimensions 51
Rooms �Baths Ful, , part, none
Heat. System
Use of Bldg.
e of
oof-ng
Foundation
Const
Ext. Fipish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
I he;eby,certify inf
as s
NORTH
SOUTH
ion mitted
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; () locatiga_of
wage sys-
State License No.
corre
RESIDENTIAL — COMMERCIAL
Plumbing Permit
nr Heating Permit
tit Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
-C/CoL.O AJ 24 3 AJ
Ind. Ins. Acct. No.
REQUIRED
Lea-
Plans Mailed
there are no other structures located on this property except
Ow. r .r Agent
A LAND USE OR S ' - UCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
AA 744.414D j� I a/DONOT WRITE BELOW THISLINE
Tour street address will be/ / /rt%4c2-1-711Atlit
Sewage Permit Number Issued Building Permit
Remarks
Date
CONSTRUCTION COMMENCES.
The zone it
46:5 zJReceipt
Issued
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