1976, 02-17 Permit App: L2653 Residence•
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County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
7��
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 onwater 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 C99106 ,
Name of Owner (f v6 / -nez2 '.4.cag.ca.) Address 636- �% (gi3.Qr t Phone S26'6 715"-VArchitect Address - Phone
Engineer Address Phone
Contractor ��-.-.-�� Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc )
.
�S^ �9Par- .?h. i. iPc c� ,0 tt i nJ_�
a A•d c -Y .?SS' .i - 0 9
DESCRIPTION OF WORK: New 1. Addition Remodel
Size of Lot nig x /73. C, y sc /.2 b. Y(Z x /30
Stories _LDimensions
Rooms xB,at�h�,s,�'F.0 (I,
part,
System-r�.tt
Use of Bldg.
ata A a t/ fLNGtyr ; jg x 414
Moving Bldg. Zone —,. Fire Zone `?i
Sewage System-�
Basement `Foundation Const i-..^ P -.t --4i
no ) /
Type of Roofing //.it-r-rjc-U Ext Finish 7- //
/L�.+•wr—emsCat
onst.
(Fr., C n4, Br.. etc.)
Total Sq Ft /�/G Valuation 4'/i 91So
Chimne�� Fireplace( '2
(Kin p' Number
Int Wall Finish CY/sf[L-el '�
No of Units _ Bed:Y/ooms a
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets (5) dimensions of buildings;
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
(3) location of existing and
(6) location of sewage sys-
State License No.
.>? 23--U/-/t/dys
Ind. Ins. Acct. No.
,�ys s8•s-
REQED
Plumbing Fermi i4,0i4r pt
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information sybmitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
4/
B "ding Permit
-(7_ 76
Date
CONSTRUCTION COMMENCES.
• The zone 1s
0 Receipt n/. ssued
Form 523 Bldg. Cods •