1976, 11-19 Permit App: L6262 Repair Fire DamageCanty Of Spokane. Wasbtgton 1 S- a s c t Li
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT }} LJ
GENERAL REQUIREMENTS PERMIT FEE ..i /'
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 LINE
Name of Owner
Address
Architect Address
90`It.e, 99070
/ti, �SOa y�1cyA-t.e T.l✓. Phone 9.7cr— 412
' Phone •
Engineer I Address • Phone �r�-+�
�,S'
D�1 LTJ 'ini.2.i Address ��'r[r'iCs•.f /&.k, Phone 41&1=74:1;21)
Contractor
?Leal Descriptjon of Property (Give complete description from deed. tax receipt, etc.)
a'lee iR rv/ — osaR
Qi Zca� 9-S)
`/.r 41-7-2 Sern Pr' /4-441 . �/
Addition Remodel X
9s/ r&). 2o' 76-' —7 tAist
DESCRIPTION OF WORK: New
Size of Lot 95_)(
Stories LDimensions `1T
Rooms Baths_Basement 1 Foundation Const F�__'
Fu
I. part, none)))
nn
Heat. System Ty a of Roofing "---ITT—A-4-Ci
� Ext Finish
Use of Bldg. '"n`rvtna6J .,% #4 m aM n.c j -Q --i . ��Lac rt
Moving Bldg. Zone _, Fire Zone
Sewage System
Valuation O00
Fireplace
(Kind) (Number
Int Wall Finish
No of Units _Bedrooms
Total Sq Ft
Chimney
7C, vim...-'.l.C•rh-f Lva.L
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
--dc tL&errnt� -
-1
NORTH - RESIDENTIAL -COMMERCIAL
t- Ci tJ
(3) location of existing and
(6) location of sewage sys-
State License No.
0 4-n-U2n
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify 'nformation submitte is cor ect and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
//I DO NOT WRITE BELOW THIS/LINE �j
Your street address will be/ t �,5 �� � -lam RO - The zone is fA'-C-t
Sewage Permit Number Issued Building Permit 2- Receipt y% y ued
Remarks
Form 523 Bldg. Code