1976, 03-04 Permit App: L2853 ResidenceClafy of Spokane, Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of air,
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.
SWAGE 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
Architect
Engineer
Contractor
Std•`�
Address A0% 3 'e y /.3 8 Phone 7.2-fSBs`
Address Al ,,,,,,,,../..0 1 a Jv ,��. 7_ Phone
Address J? 8'3-4' Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lo % 3 Al
r, s, l %)%ruis
3.? a - y- 7:3
DESCRIPTION OF WORK: New Al Addition
Size of Lot /UU Y 2?9
Stories __L_Dimensions .3/, a/ 7 D
Remodel
Moving Bldg. Zone Fire Zone
Sewage System S-e/o/ C Const. /am e
(Fr., Conc., Br., etc.)
Total Sq. Ft DSS Valuation '/ 9 '
Rooms _Id- Baths 2 Basement // Foundation Const ('odic
(Full, part, none)
, a. Type of Roofing S h i k 1 Ext. Finish d o /
is .m .e tf� c // ,/ Fl ;0? /7- et
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
NORTH
Chimney /fir/ l- ` Fireplace d2
(Kind) (Number
Int. Wall Finish /7 y -• a //
No. of Units _4 Bedrooms 3
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
I hereby
as shown.
State License No.
3 --o -/494/1-7
Ind. Ins. Acct. No.
REQUIRED
T.J..
Plumbing Permit
Heating Permit c/o, -
Sewage Permit C F1 fr f cd '
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
c ;ify information submitted is correct and there are no other structures located on this property except I
de Owner or Agent
A LANSE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT
IP I 2 DO NOT WRITE BELOW THIS LINE
7
Date
CONSTRUCTION COMMENCES.
Your street address will be y .-.��) The zone is
Sewage Permit Num r Iss ed
Remarks
o✓'///di-
Build ing Permit
��i
� Receipt 06-6-0 Issued
Form 523 Bldg. Code
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