1977, 01-28 Permit App: L6790 ResidenceCanty of Spokane, Washnigfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992011/0°'
di
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
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 alceae,",K,,, y17- , Q f -2/t
�,(�y rt-
)Address #'/7: t1'//79/
Address Phone
Engineer �i Address Phone
Contractor s� L'� ��i C , Address (L •1,47
? q —:. /l Phone L, .L
¢
Legal Description of Property (Give complete description from deed, tax receipt, etc) � t i ��`f��%
Name of Owner
Architect
1
AaT i7 ✓3,./-r c` 3
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot q...:15
r
Stories -5/h. Dimensions .2" t x `f X '1 z` =2- / X 2 ' Total
asement 1, . Foundation _
-
Rooms
Heat. System
Use of Bldg. lj.�A.
Moving
Sewage System
Full,- part, none, f„ n
Type of Roofing r' .: L Ext„ Finish(/k tiY 106
i idL - �
1.4L -71-4A
BId . Zone
/ Fire4one 3
onst. 7il�G'rl
(Fr., Conc., Br., etc.)
Sq. Ft - <' Valuation 171d1 s5i,:')
Chimney l''""«'VILFireplac14.`�""
(Kind) y N')t L
Int. Wall Finish
No. of Units _ Bedrooms -A-
PLOT
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.
2.3 4-4_ A V
(RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
pRoYvso R�srd,�n�c,� _
AND C�,4 iZ 4 Lc Plumbing Permit
m Heating Permit
.f m Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby c ratify jnformation subiaaitted`is correct and there
as shown.
are
no other structures located on this property except
r �J � l - .ham _ 77
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9 At. 74/1/1:1.4 DO NOT WRITE BELOW THIS LINE
Tour street address will be /'i«0 Ai f` , � c 61<41-e The zone is)/Lv %" `,' 4, -A-
Sewage Permit Number Issued Building Perm Receipt 0-'3-e/ Issued
Remarks
Ferm 523 IdIdn_ Cede