1976, 10-19 Permit App: L5914 ResidenceCounty of Spokane, Washhdigton 2-1° ")-
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE 45'7'
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.
Pecf,ilvl=�i�� »��I
Name of Owner���,� Address Phone
Architect Address 1 Phone
Engineer Address Phone
Address r Phone
Legal Description of Property (Giveocompl to ddeescription from deed, tax receipt, etc.) o2ev S /. — /t 0/
0 /�1E' , G c c �_) ,h 17+1.41
APPLICANT FILL IN BELOW THIS LINE
0
73-41/n'',r a
X29
Contractor
DESCRIPTION OF WORK: New y Addition
Size of Lot A /,Q5 C. 4•
/XV1
Stories 2,.. Dimensions '{x 2.I
Roomst'i� Baths Baseme
(Full, part,
Heat. System rt A Type of
Use of Bldg.
Remodel Moving Bldg. Zone ____4_ Fire Zone
Sewage System (Fr., Conc., Br., etc.) a�
/ X a? / Total Sq. Ft. -- -)Valuatio 0
mfr/
Foundation Const „cent- � C m e 9e . Fire place
�,, Kind) (lumber
Ext. Finish .Lr1 —i, --- frit. fa ish��"444
ryi-- [ir2A-1121.: No. of Units _Bedrooms
PLOT PLAN f e' tet al& I
1
4
Roofing
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.
1
N
1
NORTH
RESIDENTIAL — COMMERCIAL
S
I he
as show
SOUTH
ify'nfor on submitted
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
m
IP
is correct and there are no other
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Tour street address will be
wage Permit Number Issued -- Building Permit ,X75-9/
Remarks CIts f V 7 J.,0 --e,,, ,4
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
The zone is cy7t4vt141 , ( Y_
Receipt ?7/3 Id ed
Form 523 Bldg. Code
1
it-ner?„
• WI 1, B( -X 4C7'A,,
VALLEIFOR,
(30Y)
Septie z
Lor "/ fille 6
erne4y 04404/ 41#9/104,
2