1976, 09-03 Permit App: L5600 Move Residence ,,e,„
County of Spokane, Washington-I °�-�. 4?/
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
‘7:
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,,,- '7—
GENERAL REQUIREMENTS PERMIT FEE.__
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 BE •W THISSLINE
Name of Ownef-' A�'� �I Address / `1 —- . -Phone 17-v,
Architect Address Phone
Engineer Address Phone
Contractor Address
Address , J Phone_
Legal Description of Property (Give comple description from eed, tax receipt, etc.) '✓ �^ l / 1�`� `S ' 03 0 1
,:y
DESCRIPTION OF WORK: New 1," -- Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 0 1 & / P-- '7 ' Sewage System -S onst. ET,- "--77 -A--
A
(Fr., Conc., Br„
5etc.)
Stories / D ensions A � P!-►�.4� Total Sq. Ft. � Valuation 41 CP-t---Ir
Rooms B the / Basement_ _._ ____ Foundation Const.. "-4°� id)
Chimney Fireplace
( C A t, none z n (Num er
•Heat. System _ ' _' A 2pe of�joofing 4-`.-�-a� ish Int. all Finish
Use of Bldg. A� --- (. t — 0,,,..4_,V0-,-,2 / r 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.
NORTH RESIDENTIAL -COMMERCIAL State License No.
Ind. Ins. Acct. No.
�** 1
I. REQUIRED
Plumbing Permit
/ m Heating Permit
N _� a--- .7 r, N Sewage Permit
- r-'-'r .— Plans Received
Plans Checked
\\114
Plans Returned J Plans Picked Up
Plans Mailed
2l-0 j
SOUTH 04012.,...-"J
I hereby certi infor io s mitted rect and there are no other structures loca ed on this property except
as shown. —v -�� 9/(3' I
/ Owner or Agen Date
A LAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT /W/RITE BELOW THIS LINE /` -
Your street address will be . 1 7 7,9-, 0��-L,oiy ...pi� ( ' ccr>r
Sewage Permit Number Issued Building Permit ed The zone is Receipts 0 ' Issued
Remarks f
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1 aer V? 1 d 6 d . C.ei r,s-, 6 ��
Form 523 Bldg. Code