1976, 02-24 Permit App: L2702 Residence9,
County of Spokane, Wasaldgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
45
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .46
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution'to erect a building or structure of
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 oneater 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. •
��/(! �) �) r APPLICANT FILL IN BELOW W THIS LINE h! te i,� i ,_ggdc.36
Name of Owner �N'/3 iii-CGx �_ Address Phone 9/- a�j t'/
Architect Address Phone
;Engineer �'/t Address Phone
Contractor V..17.4,44C/
Address Pho e.
Legal Description of Property (Give complete description from deed, tax receipt etc ) �t .ji.d_cL :r LQ �T 4 4t .' - 90/-1,"
DESCRIPTION OF WORK: New X Addition Remodel r Moving Bldg. Zone —_ Fire /Zone .3
Size of Lot g'�'C/�3/ i
Sewage System 1401-91L7.) er. r onst onc., Sr., of
/ ` 6, �Fl., Conc., Br., etc.)
Stories 6/ Dimensions �- $' X 46 t 2AfXsi& Total Sq. Ft/it -i D Valuation 5/O.Se/%
r
Rooms -� Baths �- Basement-7-LC.t' _Foundation Const 1-.+!-•..L-C ,teR,Q Ch neyq Fir place -�
(Full, part, none /J (Kind) ►. (Nu er
Heat. System f;Type of Roofing 9224/ ' 4) _ Ext. Finish d //
Use of Bldg. 9 j.d(dA. /) .4?ox,, 4.04 it . Al' �/4 -21. 41- %C- A4 • No of Units _ Bedroo s
Int Wall Finish
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 ` RESIDENTIAL— COMMERCIAL
61 d 126pv
I herebyi/tify in
as show
SOUTH
tion s
Owner or Agent
A LAND USE OR STRUCTURE
THIS 1S NOT A PERMIT.
(kit, 141,a/a_ j
fitted is
PERMIT MUST BE ON THE PREMISES .BEFORE
State License No.
2-2.3-0/- /civ
Ind. Ins. Acct. No.
7 -//- 76.
REQUIRED
Plumbing Permit
in Heating Permit
Sewage Permit
N
Plans Received'
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nd there are no other structures located on this property except
-DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be RA, .4-',7/1$0 't ict 17,�
" Sewage Permit Number Issued Building Permit
The zone is 2.64-1.Grt- .2✓K�A�-yy
7 d 2 --Receipt /196 6 Issued l'
Remarks
Form 523 Bldg. Code
? l a°er, %N