1976, 02-27 Permit App L2802 MHCounty of Spokane. Washuggfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT a
GENERAL REQUIREMENTS
PERMIT FEE42'9
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 wit the
pokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
IATER. Water supply must be approved by the County and State Health Departments. Where work on water connections dist rbs
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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _ he-41414:4 [J� � Address
Architect Address
Engineer Address
Contractor Address
f9.04
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Phone
Phone
Phone
Phone
with the land
dedications.
"/ 1 13(-0-cL / / , 4,614.424, 7220. ry),e
DESCRIPTION OF WORK: New / Addition Remodel
Size of Lot 7/i f X //6�
Stories Dimensions
"is_
/44 7 0 1
Rooms Baths. / Basement / - Foundation Const
Ft I, part, none
Heat. System ,G )517 Type
of`R�oo"fing Ext. Finish %�
gke
Use of Bldg. Arv�ne� QD .0�c-1-e4V L)
Moving Bldg. Zone — / Fire Zone
Sewage System Const.
(Fr., Conc.
Total Sq. Ft lid
Valuation
&3114/ida b-Qfe-.6Chimney /%/4- Fire lace
( nd) p
Int. Wall Finish
No. of Units _ Bedrooms
etc_) ea
er
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.
911/L"
to
NORTH
RESIDENTIAL - COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRE
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify info rmaito submitted is correct and there are no others ruct
as showXi.
es located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be _ i / 6// e,L1,Lt40J The zone is Al. AeLitL. r/6 'Yk.(Z
Sewage Permit Number Issued Building Permit L -"pa- Receipt 0 5-0 7 Issued
Remarks
Form 523 Bldg. Code
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