1976, 10-26 Permit App: L5967 Residence\\A,
Canty of Spokane, WasIgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR. STRUCTURE PERMIT.c
GENERAL REQUIREMENTS PERMIT FEE f •
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 mast 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 N. 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.
Name of Owner
Architect
APPLI T FILL IN BELOW THIS LINE q/.
v t / Phone Jam' -O
Engineer
Contractor
Address Address
Address
Address
Address
Legal Description f Property (Give comp) ° descripti from deed, tax recei t je/ cl1
% —Ailt 7 - 4e= ye �Li
til -- -nits( e52 --
DESCRIPTION OF WORK: New - Addition Remodel
triesof Lot /We) /. /09c
Stories rmensiou24'X3Rff/(t/J4X/1 4111-A-rhed 41e
Rooms Baths I' (VllB se none` Foundation Const /
45
Phone
Phone
Phone
Moving Bldg.
,,......,,,,����Zone / Fire Zone -.0
��
Sewage System / Const.-f��/7�
(Fr., Corr(tg Br., etc.)
Total Sq Ft /14/') • Valuation;
Chimney Fireplace NO'S./e
(Kind) (% (Number •
Ext Finish 77 // Int Wall Finishinal/ ale
<- /< No of Units 2 Bedrooms
Heat. System
Use of Bldg.
Type of Roofing
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. .j •- 5 -
f
tn
N
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby rtify information submitted
as shown.
s correct and there are
s
-4
—4
State License No.
7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit f4-/
�
Heating Permit //8n�
Sewage Permit %Pni/e/.O!/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
kr--a 74
Ow r r Agent f Date
A LAND USE OR ST CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
9 0 _ l%U'G•�1/ The zone is] �' ��iT/'��
Building Permit Receipt 3 w Z_ Issued
CP -pi
Form 523 Bldg. Code