1976, 09-01 Permit App: L5276 Residence•
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 mast 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 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 • i i . 7 57. .TI Address / / O 1
Architect Address
Engineer may/ Address
�, �
I. - Contractor /3+f- ��/ Cr,) J-77.J-77.4,rn i� --, ; S h . , c I/r ( Address
gal Descri.tion of Property ( iv: co •Tete description from deed, tax receipt, etc 1
ZLi
w -_ f /ice
41
Phone" a4-
Phone
9'9 a ex Phone
�rc.a r,Y Phone S>
35-6, 3 O '0 ..
r
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot
77 :S) -a'
Remodel
Moving Bldg. Zone / Fire Zone
Sewage Systems Const. F -7--c-'-'1 42--
( Fr.,
2`(Fr., Conc., Br., etc.)
Total Sq. Ft 0' Valuation j-7 4/ '..‘719-
Const
5Const CO rl cd--e-r, Chimney 0(Kind) (Number
Ext. Fin sh 7-' / /__ Int. Wall Finishe
-2L No. of Units _ Bedrooms✓
Stories Dimensions ' -'3 - 60 q��`
Rooms 1 Baths 3 Basement fel /1 Foundation
k ----LE t(Full, part, none)
Heat. System K 3L3 Type f Roofing '- a
Use of Bldg. /I
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.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
.9-23-01 -b/l-CZ--11F
R
Plumbing Permit
Heating Permit
rio
Sewage Permit
'3 I'1 A
IRED
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce f/iitformati on submitted is ot?rect and there are no other structures located on this property except
as shown. c-
Owner or Agen//
A LAND USE OR STRUCTURE PERMIT MI/J---BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be gli/0!1:7 4,41,4-''
Sewage Permit Number Issued Building Permit�..f.7 71. Recei" pt �
Remarks
Date
/6
CONSTRUCTION COMMENCES.
The zone is �-'t G' �r�«
Issued
Form 523 Bldg. Code