1976, 06-29 Permit App L4554 Residence, GarageCanty of Spokane, Was"ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,% �i
GENERAL REQUIREMENTS PERMIT FEE._4!
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 oo 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.
Name of Owner
Architect
Engineer
Contractor
APPLICANT.,,LL IN BELOW THIS ��� �• LINl,E,
igr Phone
Phone
Phone
jtt � a
rims
Address
Address
Address-74-
Legal Description of Pro y (Give mplet de ription from d ed, tax receipt,
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Phone
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4
DES o$ IPTION OF WORK: New Addi on Remodel Moving
Size of Lot "/11.4,7 x/D/�, 23lfL.—//pe32 jc , D
Stories _.Dimensions ‘---,e x �[ J— /1 )( 2- Z < Total
Rooms . Baths/ rcL Basement
I, part, non
e of Roofing
/-r:0
Heat. System
Use of Bldg.
Foundation
Sewage System
Bldg. Zon Fire Zone =-3
/ (onst.7-4 t. ' C
Fr., Cohc., Br., etcT
Sq. Ft -� -��c-�rr„s�Valuatior l7, 9.ee5
Chimney ✓��' A- Fireplace 1p07,
(Kind) (Number
Int. Wall Finish /�" ri/Q
No. of Units l Bedrooms
PLOT PLAN
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.
NORTH
4- ve
ESI . ENTIAL
COMMERCIAL
m
i
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permi
Sewage Permit('�
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb c tify infor on sub tted is orrect a there are no other structures located on this property except
as sh .
-may- T
Owner o A ent Date
A LAND USE OR STRUG` RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,14- kvbeci44)
Your street address w111 be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
—17
Issued
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Building Permit'PermitaCialy Receipt ! /�1. Issued
The zone is
t!,1, �"�