1977, 02-15 Permit App: L6972 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ' 44
GENERAL REQUIREMENTS PERMIT FEE
RfrltM REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
in 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
4U
Name of Owner • • 6 61 : `1 1 ' 9 Address 4 • 2A 22 FLt)Q. � Phone 9.2 -.11C -7 -10 -22 -
Architect Address Phone
Engineer //�,A C� . Address Cmc Phone
c -t
Contractor Ol�D3t -&noomg 3 Address J Phone
Legal Description of Property (Give complete descri tion from deed, tax receipt etc.)
L &T 5� Qi OCK Std6,LIJuq-03,pDl-n0�
�r • r�
as- zs y171'
Lr/ES R I OO�IyORK: e-wT .✓ Addition Remodel Moving Bldg. Zone �_ Fire Zone
C�t ( (! 1 ± 4% L / to I �� �, Sewage System SP -9+ lO. Const.. T- r., Conc..B MA
1 i..Or 5 i'LC• ff .y._r
Stories } Dimeneioos `1v !c 7�'`'' Total Sq Ft !��I Valuation
Rooms
Chimney Fireplace
Rooms
Heat. System
ea/se of Bldg.
Baths I 9 Basement i'�I IL L Foundation Const hiAJQ2E.��
Full, part, none)
T-
ype of Roofing Ext F
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.
(Kind)(Number
it Int Wall Finish i Q,t/U3i4
No of Units _ Bedrooms 3
NORTH
RESIDEN A - COMMERCIAL
I hereby q
as shown.
SO
'3tormation sub.!
r,fl(
Owner or`Rgen
H
State License No.
60-0P -me -aq 1 -bili
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit eeL1St C>d�
m Heating Permit �u�ESt V A5 i r) l
▪ sewage Permit bNA L• LEy
-I
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located on this property except
z—l}-77
Date
e -
A LM O4 5E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6-,rwill /60 -
Sewage
Your street address will be � ! 60- Q
Sewage Permit Number
Remarks -'
DO NOT WRITE BELOW THIS LINE
Issued Building Permi
The zone is ,J.i
Receipt c783
Issued
Form 523 Bldo. Code
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I
12'
12'
12I
12'
46
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23.5'
6citust
tzar 4 elk 3
5ulltvta Qoc-
40'
ail a Pr
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4%4 *Pr
22'
j ti`s 16�
5' Aft _ _
C�NTt1Rti ROAD