1977, 02-28 Permit App: L7202 Residence7
APPROVED AS NOTED
at Spokane County Bldg. Code Dept.
Canty of Spokane, WasI #op2/2.5/7
161YBUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, INGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.31)
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building.pr.structure
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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.
Name of Owner
Architect
Engineer
j� APPLICANT FILL IN BELOW THIS LINE OLIO 46
J Q Il . t 1 K V b AdAddressjd 7 nj %t/ 1 Ctt�
Address
Contractor
Phone
Phone
Address Phone
Address Phone
Le al escription of Property (Give co plete description frorp eed, t x rgceipt, tc 1
Va s`t 13.7 Feet- d f he 6I-�tl, 's of 810 J4 Gid 1-41 i W s1" E, d
' c"f' p .f �1-Lt .c il/drfi ' ok lack 3 5 Frf/ -PtC reS Spokr4ie
•
DESCRIPTION OF WORK: New Addition
Size of Lot /55- X. a_ •.7
Remodel Moving BId. Zone / Fire Z e
Gonst.r�4n-t
(Fr., Conc., Br., etc.) Oa"
Valuation
ind) Fireplace
Number
Int. Wall Finish PI °n
No. of Units_ Bedrooms
Sewage System
Stories(Dimens o 2 7 K
Rooms / Baths Of Basement Q1Il1 Foundation Const CDY1'�—
Full, part, none
Heat. System
Use of Bldg.
Type of Roofing
Total Sq. Ft
Chimney
Ext. Finish.
-11
41,
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 proper, lines and stre • (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NO
RESIDENTIA
COMMERCIAL
°di
SOUTH
I hereby certify information s
as shown.
correct and there a
In
Stat ...J4cee No.
Ind. ns. Acc . o.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on t.is p•.perty except
Owner
A LAND USE OR STRUC
THIS IS NOT A PERMIT.
Date
ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
' Your street address will be S /09',2 K7.41,- le, e ti The zone is
s
Sewage Permit Number Issued Building Permi 7gw2• Receipt //40'4,1/ Issued -
Remarks -
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Form 523 Bldg. Code
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