1976, 04-20 Permit App: L3487 PoolCuanty ®f Spokane. Was .d9fon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE 'OR STRUCTURE PERMI , 00,
'J
GENERAL REQUIREMENTS PERMIT FEC --- / --------------------
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, 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 Owner L4 Address Phone y.;)It—'fa bS'
Architect Address Phone
Engineer Address Phone
Contractor i Address Phone '//
Legal Description of Property (Give complete description from deed, tax receipt, etc.)/ O a ��a _44-0
DESCRIPTION OF WORK: New Addit�i/on Remodel Moving Bld . Zone Fire Zone C;21Size of Lot 0 t 3� Sewage System _�2 onst.
1Fr:, Conc. Br., etc.)
Stories Dimensions o ! 60
Total Sq. Ft. �a ` Valuation
Rooms Baths Basement yW�"L� Foundation Const..fk'o Chimney Fireplace14
(Full, part, nonce (Ki d (Numbe
Heat. System Vv Type of Roofing Ext. Finish )' Al Int. Wall Finish
Use of Bldg: u 11A -
No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
(3) location of existing and
(6) location of sewage sys-
NORTH RESIDENTIAL — MERCIAL State "License No.
Plumbing Pei
M Heating Pern
NSewage Perm
Plans Receive
Plans Checke
Plans Return
Plans Picked
Plans Mailed
SOUTH
r"
I hereby cer fy information submitted },s correct and there are no other s
as shown. \/ /-1 // _ . i
IN
Ind. Ins. Acct, No.
i
located on this property except
r/ Owner or Agent I Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMEN' ES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be #2- �c� / / - �f� The zone is
Sewage Permit Number Issued Building Permit J-34?f Receipt Issued
Remarks
Form 523 Bldg. Code
x'7`
?4 d 00
1)
1
puRcHasC
v 1)0427-A - P'"‘- 466 7S
6Nt S/HE
67lierz SiQd
96d-+77(
b To /J l 1,., e
'TRACT dB`
Via' r1
it
ro