1977, 02-23 Permit App: L7160 ResidenceCanty of Spokane, Wasfagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / �o
GENERAL REQUIREMENTS PERMIT FEE 867
•
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 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.
/ APPPLICA'NNT- FILL IN BELOW THIS LINE
Name of Owner //1T�%ilL- �'✓�r/�CIO/1 ,S JA iCAddress 77/4 J: /�Di /H -L O/7 --
Name Phone 9 JI -SGML
Architect Address �tc'2�., f%%G'YLGc Q%y—Phone
Engineer Address / 96/li Phone
Address
„re-7r—t,_ Phone
Contractor
Legal Des ription of Proper;, )Give omplete descri.tion from deed, tax recei,t etc I
_I • is -
p,0•,' 5i 'aJrP-sf/-
DESCRIPTION QF WORK: New Addition
szt# err / S9 _7iOy
l Remodel
Size of Lot %2 /4=57 j 7�C Y7
Stories / Dimension �.r
Rooms Baths Basement
,{ ull, part. none
Type of Roofing
Moving B'dp� Zone) / Fire Zona
Sewage System Const. •T�!.?w
Fr., Con r., etc.)
s� /` 6"v1AC',T/2 Total Sq Ft 1o"-17 valuation 2, 96c
Foundation Const O✓' ( Chimney 12't?1 €Fir place t""'�-
.._/— / (Kind) yly ber
Ext Finish nil Int Wall Finish 7 1041,0
No of UnitsL. Bedrooms .
Heat. System
Use of Bldg.
4 tc) 477,
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines: -.(2), street or road locations; (3) location of existing -and
proposed bui dings; (4) distance to property lines and streets; -(5) dimensions of buildings; AB) location 'of sewage sys-
tem and tate supply lines.
NORTH RESIDENTIAL - COMMERCIAL
fy infor
SOUTH
n submitted is correct
A LAND
THIS
Owner
and there are
Ind. Ins. Acct. No.
REQUIRED ///
Plumbing Permit
�4)4 0#6/-
Heating Permit 7�:^tA
Sewage Permit + //j
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
a 3-77
gent Date
SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TA PERMIT;
_#i //_ .t . �
Your street address will be Ci)/ C�n ... (//n/ )2:6 .
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued Building Permit
Remarks r
The zone
Receipt
7/6 A
Form 523 Bldg. Code