1976, 05-27 Permit App: L4043 ResidenceC unty of Spokane. Washington
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 thestructure 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.
r 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 9,
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications. It
+� /J" q q' APPLICANT FILL IN BELOW THIS LINE .L '/ (,
Name of Owner ,411 /)1 c.f(C.(.�/pi, Address • 1I17 Itt-mc-:- 14i- Phone �' `�-o :2��
Architect If Address Phone
Engineer Address Phone
Contractor 0-71.‘-#----- Address 1 Phone �/ �
Legal Description of Property (Give complete description from deed; tax receipt etc 1 n -o '/aA- `u L •)1u'fw' ti '', `f -gel -y6T/
h,.wt //. Fel ; •jam 721it a t "‘; Geta.../:77:4 4
DESCRIPTION O�Fa WOR}: Never Addition Remodel Moving Bldg. Zone •> Fire pri
Size of Lot Q3, d 4 X 41.ES=L- 75k /2-4' ,7.2. X 1)I- %7f Sewage System Lif.) = �onst. ��� e�
/ / 11 c / M�� /� Fr., Conc., r., eto.l
Stories /�Dimensio s '�Y /.1 � Y / 7` /V '1' .PS o2? (V .2 � F �,L� L% ��
Y//V. �I Total Sq Ft d Valuation
Rooms 7 Baths Basement FoundationQpnst .tb- Chimne•%T "Cx'S-r,%" 'replace '-
.1F_1;_ perp none v7 G'Y CLi Wall Fins (Number
Heat. System ! Type of Roof', Ext. Fjnish , / Int Finish
Use of Bldg. ii/ J ,,L2.-L'/t-CL G�� -malt. tL(ic�L/{ (. No of Units _ Bedrooms
Roof?
G PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of (sewag sys-
- N6.)-
RESIDENTIAL - MMERCIAL. State License
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
m
N
N
I hereby ce
as shown.
SOUTH
u
ted is correct and there are no other stru ures ousted on this property except
•'a 7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permitly %7�-taYL i
m Heating Permit t v` -t,/,-'
tn Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
or Agent
A LAND USE OR STRUCTURE PER
THIS 1S NOT A PERMIT.
('9-. 744.41767
/ 7 </, r A/
Your street address will be �j) • `76 p/-1/ / '_t&o ,CV�,Q.. '�,�j-., "� The zone !isvJ YJ 4 v �/�
Sewage Permit Number Issued Building Permit ipie(3 Receipt L% / ((JJ/ Issued
Date
MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Remarks
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Form 523 Bldg. Code
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