1976, 01-28 Permit App: L2497 ResidenceCitify t of Spokane. Was�gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 5-0
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.
RATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
-ihe surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's ()Meg.
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
Name of Owner J / n> / . (" r74/ Address R Ti..? Wo Y/3!3 Phone '),z --3—f- -s
Architect Address /�U/�1 ,, 1 rf�'r -%�-/ Phone
r
Engineer Address ,� 3y Phone
Contractor _5-,4 -C Address Phone
Legal Description of Property (Give complete description from d9ed, tax receipt, etc )
/i --z 4'Jr /%r/,",J ocJ /�.o
i1, r,,' i,�
DESCRIPTION OF WORK: New is' Addition Remodel
Size of Lot //2 )/
JJ��
Stories ''LDimensions 3 y.3-7
Rooms % Baths -kBasement l ' // Foundation Const
(Ful, part, none)
Heat. System 4-1-',1; y Type of Roofirjg S! 1:7/C
Use of Bldg. /Lf%d- A -
PLOT PLAN
Moving
Bldg. Zone / Fire Zone
Sewage System 5,,,,, cronst. r��»�'
(Fr., Conc., Br., etc.)
Total Sq Ft .�' Valuation (- < < e'l
nney fj - i ('4 Fireplace '<
(Kind) (Number
Int. Wall Finish 1 d. ec Y //
No. of Units I Bedrooms
Ext. Finish Lc.'L'C
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
(ESIDENTIAL - COMMERCIAL
SOUTH
I hereby c-rti' information submitted
as shown. i
is correct and there are
State License No.
—17 — 0 / /
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
I
n� Heating Permit 77 /,./e h ; /cam' r
N Sewage Permit /' , .(� A
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner or Agent
/ Date
A LAND , SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(
w(44.2,0
71,
Your street address will be
Sewage Permit Number
Remarks
DO NOT RITE BELOW THIS LINE
Issue.
Building Permit
The zone is
Receipt
Issued
Form 523 Bldg. Code
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