1977, 03-09 Permit App: L7382 ResidenceCanty of Spokane, Was!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE; WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENikAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED Aland use or structure permit is required by County Resolution to erect a building or structure of any
kind .nr. at�tjjrer any building or structure already erected, or to change a land use. Construction must conform with the
Spokane Coffty Building Code and Zoning Ordinance. Construction is subject to inspection.
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WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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 FI L IN BELOW THIS LI E
oV
Name of Owner 1 - e . I/f a _- 4 - • ddress = e / =' i _/ 4rybne_
Architect 1 Address Phone
Engineer Address Phone
Contractor X2{L/y(8 -- Address /% Phone
Legal De cription of Property (Give complete descrip on' -•m deed, tax rc tc 1 a -CCG Z--;/ /V s yai --7W
DESCRIPTION OF WORK: New. Addition Remodel Moving I . Zone,,i._ Fire Zo "'
ce6.3.3 • X A.7.5-1 Sewage Sy CCoust.
'+' . Q' (Fr., C Br. etc.)
Stories Dimensions ' rJ t�X /i, u�X� c'5 .i/2 Total Sq Et /a a/ aluati �� ( J
Rooms Ba s Basement F• ndation Const Ap
Fu I, part, no �C . • Chimney ���ty Fi lace
` ' (Kind) ( (Number;
Heat. Sys t Type Roofing • Ext. Finish,/ 7// Int Wall Finish
No of Units _ Bed
Size of Lot
Use of Bldg. c
PL • PLAN
Draw sketch with dimensions showing: (I) 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
aJ-Ju et--e-N
SOUTH
REQU D�/ D
Plumbing Permit �'C tr IZ�1 �✓
wt Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up -
Plans Mailed
1
I hereby ertify formations jtted is correct and there are no other structures located on this property except
as shown.
(•� —9— 7 7
Owner or A t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N A PER DO NOT ITE BELOW THIS LINE
Your street sddress w111 be oZ 0
Sewage Permit Number Issued Building Permit
Remarks
The zone
Receiptuzikafr I
Form 523 Bldg. Code
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