1976, 07-28 Permit App: L4860 Residenceu \ i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N-.811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 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
12Ckt 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 Ingres)
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must ke
Performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit 1s 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
� 92?-÷c".
a 8G ad
Name of Owner .. _� — ire :� `'Address /� X570/ Phone 'y
Architect Address 99'/6 Phone
Engineer Address Phone
Contractor .wtt-fr- Address /-7-9,',--&-c.0-1/
� / Phone
Legal DescriptionofProperty (Give complete sde�snriiption from deed, tax racerot, sett ) .C7cz.�*�t"/ 1'1- /q/sN-7- —CD 7-
&iZ6</
/ , e A— a J/--1"- `fir ' -zJ
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone F Fire Zone
m S T.
onst. r... -t, --a_.„-___0_
lEr., Cbnc., Br., etc.)
q Ft 426 V luation 4',G,9,,-0
Chimney Fireplace
(Kind) (Number
Int Wall Finish-�._.r-6(
Size of Lot A r7 _?or &t/t-- dam.— /2 n- Sewage Syste
Stories / Dimensions VX 3 a /9 -Y -/9-Y-11 — "2 x- / Total S
Rooms .+ Baths 1 Basement l G V / / Foundation Const CO '9 C,re�%--e—
Full, part, none)
Heat. System SI
Use of Bldg.
Type of Roofing / Ext Finish /1
No of Units _Bedrooms .0
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-
t and water supply lines.
NORTH
E11DENTIA1)- COMMERCIAL
fik
tier—
I her
as shown.
Owner or A_ent
A LAND E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S NOT A PERMIT.
MA42-DO NOT WRITERIBBEELLOWJ THIS LINE ///J G
Your street address w111 be /�,, `,7 oZ / ��t-r�-�'e 4.f9 �ir,L2-,,, �D The zone is 07 •Y.l.t,^'(/'~
gc/T Receipt o2aued
SOUTH
a
N
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
submitted is correct and there are no other structure
located on this property except
ate
CONSTRUCTION COMMENCES.
Sewage Permit Number Issued
Remarks
Building Permit
4117
Form 523 Bida. Code
1p00
601
57
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