1976, 01-23 Permit App: L2479 ResidenceAPPROVED F TED
Spokane Cou .& o Spokane, Washington
, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
GENERAL REQUIREMENTS
AND USE OR STRUCTURE PERMIT ,Lp J
PERMIT FEE 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.
WA*R. 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 Offi�e.
SEOGE 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
Lo7
Name of Owner
Architect ' ' ''# ilyi.a.01i-AC44k-) Address Phone
Engineer Address Phone
Contractor AddressPhone
Legal Description of Property (Give complete description from deed, tax receipt, etc) paA,cQ..( * v (<i S`;..2 J/57
Address _ c20 a -1 Phone_ *. — 7/d 9
Le -t I i &4 2& w .
DESCRIPTION OF WORK:
Size of fjLot
Stories / I- Dimensio
Rooms Baths
Heat. System E
Use of Bldg.
New Addition Remoclel Moving Bld Zone, / Fire ne
/ y /5---
i let-" Yl-C—
�-� �I /�� Sewa�eiSystem ,C (Fr.,
(ptRn".�} _ r / ��% X 2 �� 2� Fr., Conc., Br., etc.) 00
s /X2-2 .13X,4 Total Sq. Ft Valuation `Md d 0U
0A-71Basement _�Foundation Const/"vim Chimney fireplace /J
Full, part, none) (Kind) (Number
, ��-2ppp
Type of Roofing / Finish, 1 —/ ( nuG�Int. Wall Finish �'f-tel
ilA /d,tir �-fJ�- No. of Units _ Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildin• ; (6 )loc:tion of sewage
State License No.
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby certify information submitted
as shown.
X
is correct and there are
m
a
-I
ys-
c 3 -- /- /' 0
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit X Y 791 9
Sewage Permit ✓�-L ,lA,l.(X
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
1'
no other s ructures located on this property except
Owner or Agent
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
71,(1-4A
DO NOT WRITE BELOW THIS LINE
Your street address will be j .2 3 / / gts-efitmt4,
wage Permit Number Issued
Building Permi
The zone is(�'S . �, 1e•
Receipt JJZL S Issued
Remarks
Form 523 Bldg. Code
1
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