1976, 07-02 Permit App: L4573 ResidenceCitify of Spokane. Washtgton
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 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 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 _Inn •7 • a u I i C' f.0
Architect
Engineer /�% /'
Contractor !/ /'- ,no—Address
Legal DescrF/ tion �of Property (Give complete description from deed, tax receipt etc 1
sr o r v .C49,- 0 3 /.; '� et8.11 -- �c! . �_ F:
Address L �4. a_.. " / phh
Phone 670}A -M-3
Address Phone
Address Phone }
Phone 7.-%7�Fe
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone -�
Size of Lot 5-/1' 3/ cr' ^r Sewage System'.7 7—_- const. _
r2-7
Storie
Rooms C Baths ij
Dimensions :If of y! — //ix 12-.1-;" . /0 'X •7 r) Total Sq.
Foundation Const Co n
Ext. Finish
Heat. System
FuBasement/ f/ /1
ll, part, none
����]] Type of Roofing _ /� /] �.p�r� �% /
lf1-i_e /%.R.t o + c4.,.A�� C[�GG.-t . i J
J Y
Draw sketch with dimensions showing: (1) property lines; (2) street or road 1 cations; (3 location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of uildings; (6) location. of sewage sys-
tem and water supply lines. •
Use of Bldg. 41 O-„
Ft. .2.I -r ' Valuation Wee,/.2 n cd
Chimney Fireplace
(Kind) (Number
Int Wall Finish
No of Units _Bedrooms
PLOT PLAN
•
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby certify inf oration submitted is co
as shown. y-
c�'s..
ner or Agent
rest' a
State License No.
cgs -a/- Pl-f F -Lt} -C)
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
here are no other structures located on this property except
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Y1144t
Your street address will be 7/a .2, i °re
Sewage Permit Number Isaued Building Permit )j .y ti 7 3 Receipt (79
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is l 14.2 t!L,•LIA/
Issued
Form 523 Bldg. Code
2