1977, 02-28 Permit App: L7145 Residenceri
APPROVED AS NOTED
Spokane County Bld , Code Dept.
Date .,E/ IM 72
C` my of Spokane. Washington
ODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
ATION FOR LAND USE OR STRUCTURE PERMIT {' �o
GENERAL REQUIREMENTS PERMIT FEE ..5/e—
...)-1
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 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 tmost 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 Stgte
Hi4ghway, clearance must be obtained from the County Engineer and/or State Highway Department. (F
AeCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. l
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the lad
wSich 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 130/0149 TO f) f3 Addresc7O/ 2- 2 n.. Phone92S' ti, Z_
Architect Address Phone
Engineer _ Address Phone
Contractor lA
Legal Description of Property (Give complete description from deed, tax receipt etc 1
4o*1S, it? iotk a
DESCRIPTION OF WORK: New ' X Addition
Size of Lot 111./j' .' //i) Se' /V 6r40 >1
Stories l—_Dimensions r
Rooms Baths .Fu(IB separno
iat. System F.A. tan.T Type o
H
se of Bldg. .5 A/F M
d
ete-Se3 tl o 3/ r—
Remodel
Keveriy MIA' j
X
Moving
Bldg. Zone 7 Fire Zone
Sewage System yr IC Const t'R
Dell(r���,�y�p,� Fr., Conc.. Br., etc.)
TXIO IB otal Sq Ft—! Valuation 39�s
Chimney
(Kind)
Fireplace
Valuation
Number
Int Wall Finish F)) 'YW-tre 4
No of Units _Bedrooms
Roofing
Foundation Con
Co_n P
t. Finish T' /1/
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.
H
NORTH
RESIDENTIAD= COMMERCIAL
s, odd
stA
x\--;ria7
SOUTH
a
I hereby c- tify informatio, ubmi
show,
Owner or Agent
AT -LAND USE OR STRUCTURE PE
• THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued
Remarks
is
m
s
�1
State License No.
eInd. Ina. Acct. No.
REQUIRED REQUIRED
77
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
2
ct and there are no other structures located on this property except
Date
IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
,e e ie ,
l Fiptzonr 6ga
4isued„_-__.^tea
orm 523 Bldg. Code
1292 sa. Fr.