1977, 02-15 Permit App: L6975 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 any
kind or alter any building or structure already erected, or to change a land use. Construction must conforwitb the
Spdte£de-CSunty 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.
s� [ r�^APPPPLLICANT FILL IN BELOW THIS LINE
Name of Owner A�&) - (i OCJ4J11 1 Akl Address X11 • 22 d" I. �1�. Phone
/
Architect
EngineerAddress
Contractor 11ACi'11 ��--++ Vim.- Address
Legal Description of Property Give complete description from deed. tax receipt etc.)
LOT .4 BLAS 3 5LkL_1 (Ata LJvrLP Pepn171 0l)
W21d`1102.2
Address Phone
Phone
Phone
DESCRIPTION OF WORN New � Addition Remodel
Si of Lot 4o � [ C
'
Stdres Dimensions i'I
Rooms
Baths Basement Foundation Const
—Lica. part, none
Heat. System rl'. E- • Type of Roofing
Use of Bldg.
Moving Bldg. Zone /- Fire Zone
Sewage System ` gnia Const.
�-\ /�. �/ ,1 p . / �1 r., Conc.. Rr., etc
I UiJl J /� W O /• ly/11L • Total Sq. Ft.IEC 4 Valuation 3T,�S0
-1-tl�ny,tr`- l' -it
f P :e. Chimney Fireplace
(Kind) •_ (Number
Int
Int Wall Finish y
Ext Finish - 1 1
PL • ` PLAN
No of Units Bedrooms r--+
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.
est
N
N
NORTH
RESIDENTIA )- COMMERCIAL
SEE
I hereby ce,
as shown.
fy cnformation
.w0(
SOUTH
ts correct and there are no other structures located on this property except
2-/_7 7
m
D
ti
State License No.
o -ole srflc 2t 1bt
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit PREQJ6I 00
Heating Permit A ' YYl
Sewage Permit CTBT V ALL -Ey
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
OWL- 344,042. DO NOT WRITE BELOW THIS LINE
Your street address w111 be _ 1 ..1 •e zone is SO -[.14. 'C">1.444 Ae14
Sewage Permit Number Issued Build.g Permit .i' t/ 743 Receipt Sin 3 Issued '
Remarks
Form S23 Bldo. Code -
12'
. I2'
12'
I
Yr
SV
5°I
I
4'
SUWE
40
1 b4o 5e. Ft
2I
31
4Mdv. ea.
Lot4 6k3
-5dkIj4a.„ 1U
11-054 s..Fr.
u'
•
10'
Ito'
/b' AfftokeA
25'
LoPer-
t41
C `1 1ZoA