1976, 10-15 Permit App: L5838 ResidenceCo.,nty of Spokane, Washk1igfon 3 :7 --
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 414"
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
e surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SWAGE 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 Stat
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 C -t cters,-i
-,
Name of Owner J)3P. ('t . 1)c 0_,/v) .E Address / 1 o .'L k -L tt 4 Phone (p (fl— ?St))
Architect Address Phone
Engineer Address Phone
ContractorCY _ne —sty Address Phone
Legal Description of Property (Give com tete description from deed, tax receipt, etc) —"fa. • cl'. 33 ��ii.a ` 5'pCa.
L.c,f-- I)� f (.Q( to ,, 5 -R -,-c nd Add .
DESCRIPTION OF WORK: New _
Size of Lot
Stories S 4 -Dimensions we.,7- Y b
Rooms Baths / Basement
(Full, part, no
Heat. System eeet• PA • Type of
Use of Bldg.
Addition Remodel
rsa '
ayx 5--
Roofing
lRoofing
1-t7
x' /.2
Moving
Sewage System
Total Sq
Foundation Const
04711p s Ext. Finish `�-((
44-44C-
PLOT
.eZPLOT PLAN
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.
Bldg. Zone -- Fire Zone
Const.
(Fr., Conc., Br., etc.)
/ 00
Ft ! 7 LLValuation 8)
000t
Chimney /1.tLk Fireplace
(Kind) - (Number
Int. Wall Finish It
No. of Units — Bedroo s
'lam Q o f
m
NORTH
RESIDENTIAL — COMMERCIAL
PI-eyese- a_ette,/a1
SOUTH
m
State License No.
o -K4
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
h by rtify info tion subm t d is correct and here are no other structures located on this property except
ifr. /0- /3 ---?cc,
Ow or Age Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
C7-zyt 41,440:Z
Your street address will be
Sewage Permit Number Issued Building Permit 4 3
Remarks t�
DO NOT WRITE BELOW THIS LINE
The zone i �� ce./>i,. Pp
Receipt I13126d
Form 523 Bldg. Code
4r -
c) • • - 11
c,
—
ry r
, .
d'd
104.
, 1
.....__ ...,..ai:t .L.1 j
4
;
.t• i'"*.mr,amod
e
ic \
•