1977, 02-15 Permit App: L6966 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ; ,f r
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 mast conform ■ith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
W'i R.`�ater supply must be approved by the County and State Health Departments. Where work onwster connective d4a,turbs
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
Name of Owner ._,,L,Q1n1CbiajS1, Address N 23 r2%,3 T- LOCA Phone c (r+ -i 6 eat.
Architect Address Phone
Engineer Address Phone
Contractor aA'( Address Phone
w
Legal Description of Property (O com lete descri tion from deed, tax receipt, et )
L-01- t " 1-bcK , Sut-L,iNA,.S
ITI
23-Q3--vq
DESCRIPTION OF WOA: New Addition Remodel
Size of Lot Lfn' 136 r
StorieslrDimensionr 112-7 �+I ,` 481-1---•-, 1 &1 1
Rooms Baths I 1- Basement � UL -1 -Foundation Const
_ /�,111-
Full, part, none)
Heat. System j- A -- %Type of Roofing Ext�,F.1ir/fish
of Bldg. 0 aLS 0 4 -AW
Moving
Sewage System
Total Sq
�e,te.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
no
111
—1
NORTH
Bldg. Zone Fire Zon S
SPptt D Const. CP- (PA1CP
r- (Fr., Conc., r.,n tq -
Ft 1 iP 1 IIa,.,V�aluation t -�
Chimney (111r�Ltf0.-Fireepplace( u elk--F
+�
Int Wall FinishFi-Lig-%4� L"` -
No of Units _Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby cert1y ()information sub
as shown.
l -J
er-or Agent Date --
A-LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
here are no
State License No.
60—oP— me -
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Q -€G S t LLD
,, C�
Heating Permit M tT' (, kJ Sewage Permit s+ b
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
Tour street address will be
iso lo
Sewage Permit Number r�--� Issued
Remarks �T^A-i A �JC`P.I Ii�C n
ding Permit
The zone is az.„4 LI,-�Lt .4'^�`A�
Receipt 5783 Issued
Form 523 Bido. Code
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