1976, 12-10 Permit App: L6447 ResidenceCanty of Spokane. Wasakgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT IA/ a
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 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 47235.
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
gq
Name of Owner SOI. -EX , ILL_ Address Pr). CJOtC 1ne3 o\ Phone (n24- 16597
Architect Address Phone
Engineer Address Phone
Contractor
5A- 1‘nG Address SA- h^C Phone 1t
Legal Description of Property (Give complete description from deed, tax receipt etc 1
I�cST 1. 131-i.C_ t
E.*t-L/ .� t_) Ac'
Pooacett it -7 ad 2-- \tot
DESCRIPTIONf EWORK: New I" Addition_ Remodel Moving Bldg. Zone �— Fire Z e . 3
Size of Lo�/I/�7/ \32 . 5Dt )C \14 .S0 Sewage System 5e PT1 v Const.
1 1 . /3-F/uPST:MRS /SOC. (Fr.., Co dd Br., etc.)
Stories 2- Dimensions 24 X 38 L 22' ad Cr4liwtrAtc Total Sq Ft Valuation4401CW)
Rooms
Heat. System
Use of Bldg.
Baths 1 Basement R -L.- Foundation
(Full, part, none)
rateD ARC • Type of Roofing
Const
C.ow (] • Ext Finish L.'P SIOivt1
q .0 &,&Zta.riat
ESi 001--T-L . !J ,rf
Chimney (' 40'Fireplace 1
(Number
Int Wall Finish 1-2r2-ylnytL -
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.
NORTH R-ID'NTI'AL-COMMERCIAL
i1.5 L -'--3
SOUTH
I herebx-certity 1. .rmati•; subtted is correct and
as shown.
�0
Owner
51
State License No.
dK oA/ F// -S
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this
property except
Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
anti A9 DO NOT WRITE BELOW THIS LINE
Your street address will be >2. / 9 O S The zone
Receipt O Issued
Sewage Permit Number
Remarks
Issued Building Permit
Form 523 Bldg. Code