1976, 07-08 Permit App: L4619 ResidenceCuanty ®f Spokane®
Washad t®n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® 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.
NATER. 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 I of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
NATE 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 or4 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 Owner % Address S_ T .3 -Z�,Q 1141rl Phone sem!: X8=-6
Architect Address Phone.
Engineer AddressF-1
Phone
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Contractor --C- CORP Address � 9 � 2O 1R,0— Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
DESCRIPTION OF WORK: New 4-- Addition Remodel Moving Bldg Zone Fireone
Size of Lot 19/, Y �3/. 3 X 1�r5. X f Sewage System � onst. t d _E
16 ASG�>zAYr- Fi,tJ►S D gljl� SF OrJ �Fr., Conc., Br., etc.)
Stor i es S-E-Dimen Ai=se 6-0)(% 0,94R. Q aXa q�,bEGk' %OXO Z Total Sq. Ft. Valuation 15-11
Rooms -6Baths Basement Fes«- Foundation Const.. ��NC� TC ChimneyM J replace
(Fu II, part, none (Kind) (Number
Heat. Sysiemq:-'L!~ G F.r4.- Type of Roofin9c S)OWExt. Finish T' 0 Int. Wall Finish 5'NEC-7-Ro ole
Use of Bldg. B95 S / UG JUC, F-1 GA -C A- CSE No. of Units _ Bedrooms 3
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.
SOUTH
AMERCIAL State License No.
-sT--
Ind. Ins. Acct. No.
-36 Is-- a..-;2 _V—do
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iereby cert�nformgtio .s tted is correct and there are no other stri
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REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ures located on this property
/I R
'� Owner or Ag net Data
A LA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFO E CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be J.y, /,r,/t�rcc� t��� The zone is
Sewage Permit Number Issued (Building Permit%" %`j ReceiptIssued
Remarks ` ,
Form 523 Bldg. Code
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