1977, 02-23 Permit App: L7156 ResidenceCanty of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 3 a
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 say
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Ownee9/zi/f--��-J ((/// 4.9* k& -Addressq �6 %n'24L a Phone 7,4 S` 77
Architect Address 6.NPNn/ /Vete PS Phone
Engineer JJ Address 99a/6 Phone
Contractor: jl-•-v...e Address
Phone -erg
Legal escription of%Pr p rty (Give complete description from deed, tax receipt etc 1
�- �ix
PAP/y" AQa'-V /if/G'd1,✓.� L zr4' e s,atve .4'AF
#f rn-c/{ ,4 e c e/#,1� .47 f..2 S-1 2 - coif
DESCRIPTION OF WORK: New kV Addition Remodel Moving BI Zone Fire Zone
Si
Lot lertiS; 3Xsa,r /q r, dQ Sewage System CoiFrnst
B-1/etc.)
Stone k /,T7-Dimensio tle
Roams Baths
Heat. System ..CC
Use of Bldg. ,�,t
�x T /(e Total Sq Ft0.5"--6 Valuation- ;slid, L
ay Fireplac_
( in I!(Number
Wall Finish „'76l/�e
of Units L. Bedrooms •Z
Basement y/ny,a Foundation Const. �.,7,/.ta Chimn
Full. part, norfel"'
Type of Roofing 727 Ext Fi/R+sh ' Int
A1 it /4-017f /„l.,„<„5- w�� No
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) ideation of existing and
proposed buildings; (4) distance to property lines and-st ) dimensions of buildings; (6) location of sewage sys-•
tem and wa er supply lines. ` �-•/.S`- 7
NORTH RESIDENTIAL COMMERCIAL
I hereby pettify informat
as show
a
-1
N
7
State License No.
!�D Lt -Ne -.143 2>A7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 2-7Y`�r /�
//
Heating Permit-fi(�—&
Sewage Permit /2r-✓ laT rtf
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submitted is correct nd there are no other structures located on this property except
Owner
'Agent Date
A LAND USE OR, STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 N .g PERMIT.
DO NOT WRITE BOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permi
Remarks
The zone
Receipt
sued
/3 b
Form 523 Bldg. Code