1977, 02-04 Permit App: L6837 ResidenceCoitity of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 60
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '`fig
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 on water connectlons.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' • / C
f�f oa. SP ✓\ _ Phone C7,4?
—7 � ✓
Name of Owner A ' A04 - Ii Address
Architect - - Address Phone
Engineer // //// J //^^ Address // yrJ��J02/.q) Phone p�
Contractor OAA TV C6 9MP�// Address 49..617 #Jrf "QJ e21/Phone 9,2 :. 6 71, 7 ,
Legal Description of Property (Give complete description fromilegd, tax receipt, etc) / - 90,4' 0 .
.S . .200 r o- /e f /k r,-5,9.5 ffril. $/o M -7a, Sr>• e rij , - -e Er}�K(. )-le •
Set a 6-'90 .. c7/4lr.1l.LY/ (P7 Q ` 9a `x / s;o Awl „ttQ ML / t
4a- ..:rCc
iithA k'd..
o f9`i Zd��
r�c
Pe.,rro0,'th /,-5--5-.2-/S.a/
DESCRIPTION OF WORK New v Addition Moving (gig. Zone / Fire Zone 3
[a�Jl
Remodel
Size of Lot / el) 7/1�� �
y
Rooms Baths Basement .0 Foundatio
G (Full,.part. none
Heat. System r'ir""///f�Type of Rooting - re e/'
Stories LDimensions -?fe 2 v2 xay
Use of Bldg. ` r Q/ 4A—iv
a!) J
y
Sewage Syste
1ii
�3r 3D Total Sq Ft • Valuation ?2j00li
Const. <'. B Al)
I Fr., Con c.. Br., etc.
n Const e/t�Ca Chimney Fireplace /
(Kind) Fireplace(
Ext h Int Wall Finish 1:274041/
- l No of Units _ Bedrobms -T
� is
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.
ITO
to
NORTH diet.i G.e.„
siN6LE F'9mi (�
ortt
SOUTH
.DA/ vE
State License No.
.41 -/Po -c, q -c-7 6D
Ind. Ina. Acct. No.
5
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebyleertify info mat , witted is corre and there are no other structures located on this property except
as shown.
Oen o gent
Date
A LAND USE OR STR(JCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-.1/1 -71/ t't-CP DO NOT WRITE BELOW THIS LINE
Your street address will be l •
h( e C/[ The zone 1e
Sewage Permit Number Issued Building Permit T�i Receipt 2,1121
Issued
Remarks
Form 523 Bldg. Code