1976, 03-04 Permit App: L2854 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
1 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.
APPLICANT FILL IN BELOW THIS LINE ,4 9 y20
Address eig723 d .'d Phone 92-4 --X-4400
Address ' ',72 442 Phone
Address Phone
Address � Phone
Name of Owner
Architect
Engineer
Contractor ‘..E5//r— 4W eV; r -
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Ler- 4/� /gc ac.?, / fl/Eu e, "4'.e- dZ 4A/-
6•-2-6—fog
DESCRIPTION OF WORK: New X Addition
Size of Lot 9G 'A -/2<f"
Stories__Dimensions 1S',4'2 i 'f a/XYZ •
(p Baths Z Basement" Foundation Const eQNG -
(Full, part, none)
6:8O Type of Roofing are,/ri-L/d Ext. Finish GOA"
44-570e7SIcd' uv//41 Age. ill �"6 -
Remodel
Rooms
Moving
Sewage
Heat. System
Use of Bldg.
BlIg, Zone / Fire Zone 3
Systems E/d%/C onst. ,74019,1094L--
/� 3 Z (Fr., Conc., �, gtc.)
Total Sq. Ft. ! Valuation .7 ,jl7ae,
Chimneygireplace 2
(Kind) (Number
Int. Wall Finish -07A2-41411,9`1'L•
No. of Units ../Bedrooms
PLOT 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.
m
ut
NORTH
RESIDENTIAL - COMMERCIAL
7;77-7,-t_,4,S/Js •r1) SQ,
p ods E' // 7 o
/G 3 2--
I hereb ify infor
as shown.
State License No.
-2Z3-4/- ///2s
Ind. Ins. Acct. No.
1py-S9z-
REQUIRED
Plumbing Permit aet- e.�iYJ
Heating Permit PZ7JB C O
Sewage Permit 852-4-4X. .- /4G/�
J`,4,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
t}on submitted is correct and there are no other structures located on this property except
,4 /Y?
Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9./14- 'ifiZ j2- DO NOT WRITE BELOW THIS LINE
Your street address will be ' l✓ 6 /{ e
Sewage Permit Number Issued Building Permi
Remarks
The zone is tj,,44ezi
ReceipIssued
Form 523 Bldg. Code
f"s
a
•
A
4/47' . -.. 7
//70 4'AA/ ,IE<
Ftoo.e 1 ever
72.4
vc, Can_ .e.
CONGfere
33`'
69-
1� T 41r ,Bony .I, CL%EG L err, Ey Pi!/O,t® 3'e4' Aim %V
Coa. virtY, dF Soo.tAiVE 4i" eAJ;4=z/Y`7zw,
Ie€w74c7oe..
i ' f