1976, 08-06 Permit App: L5003 ResidenceAPPROVED ,S Wan
Spokane County B'.rig, od. is pt.. -
r;
Date 7 _ BUILD ,ODE/ DE
by
y of Spokane, Washington
RTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
FOR LAND USE OR STRUCTURE PERMIT I� �S i
GENERALR� • I "'""'' TS PERMIT FEE
PERMIT REQUIRED. A land use or •truct .e permit is required by County Resolution to erect a building or structure of any
kind or alter any building o struc ure already erected, or to change a land use. Construction mast conform with the
Spokane County Building Code anon'•g 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.
Name of Owner
Architect
APPLICANT FILL IN BELOW THIS LINE ,eJ
Address
Address Phone
1- yqa&
Phone % ` &
Engineer
Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc ) 4 a.:34
Contractor ��svvrx-
L td T 13.0 /( �'3 RI h gr_,F 1446AT T /l TSS
DESCRIPTION OF WORK: New )4 Addition Remodel Moving Bid . Zone ..2.____ Fir one
Size of Lot /J� X. % 951 Sewage System 41 L F Iy�onst4- '��L
7 ZiC� (Fr., Conc., Br., etc.) dC
Stories / Dimensions 6vx.3ta`y' tQCX47-`1 t .2(X 4 4/ 3X3�r Total Sq Ft :376'1- Valuation 1,
/6-641
Rooms_ Baths Basement t (1k Foundation Const � �t� Chimney/1(1(g
Z
ull, part, none �1 (Kind► (Number
Heat. System _ Type of Roofing E t.,Fi_nPish / �C 'Oc Int. Wall Finish L/ Aff'f t ��
Use of Bldg. 1?1G.L -Itt,A - L LZ'LC at.l (fA.(�.lLtzi- 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.` -_�
I(4IDENTIAL - COMMERCIAL
NORTH
SOUTH
State License No.
4.1-L14-C-41---
Ind.
u yam.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit -
n+ Heating Permit
ut Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here certify information ubmitt is,C ect and ,there are no other structures located on this property except
as shown.
l G itii
Owner or A Date
A LAND OR STRUCTU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
67vt- 2444.40.
DO NOT WRITE BELOW THIS LINE
Your street address will bej..2.3 O q e__.0.4-14.4,- - Lt
The zone is,l � - ®rTihri _ -0-4---
Sewage Permit Number Issued Building Permit ti ®i.jj Receipt Z 3 Y 3 Issued
Remarks