1976, 09-03 Permit App: L5340 AdditionGE
APPROVED AC'OUtthPbf Spokane. Washington
Spokane Id .Code De t.
i� ODES DEPARTM NT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
G �7'
LAND USE OR STRUCTURE PERMIT
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 •ork onwater 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 az ingress
and egress. .
Cy9UNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work\ ust be
ptirformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
M ING OF BUILDINGS. A permit is required to move an existing building. When a building 1s moved on a County or State
H ghway, 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
Lhicb are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
`/ APPLICANT FILL IN BELOW THI�IS,LINE s7�'9
Name of Owner �d 7 %l! ,\ P t-ct J- N l „rte Address p4 / 111 TLr' .0 l'1.20 b Phone
Architect Address Phone
Engineer Address Phone
Contractor Address / Phone
Leal Description of Property (Give complete description from deed, tax receipt etc ) /J�,u-I' O 9-� %� •2 -O r% 5
ems'
=a. ; r 3 his ' 3 3 Esau ---
DESCRIPTION OF WOK: New Addition /— Remodel Moving Bldg. Zone
j ol_ 3G U Sewage System Const. 1.7-(•(
r., Conc.. r., etc.)
Valuation '� OO
Size of Lot 13 WO;
Fire Zone
Stories _Dimensions 1. '6 V''
/ ' 6 if
-,+-. Total Sq Ft <2-4-5-qRo ms ( Baths ( Basement Al 0 Foundation Const Ns
s»i--ort Chimney Fireplace
(Fun, part, none) (Kind) (
Heat. System P——P0 /Id Type of Roofing Cn -n Jo Ext Finish r'd4r- S 4tt.k(&int Wall Finish P-^-7 iv"
Use of Bldg. Q a= . t -,i) 0611,24 n6Y.-i,,
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH RESIDENTIAL -COMMERCIAL
No of Units Bedrooms
0
%33'
SOUTH
I hereb certify int tion submitted
as shown. r
is correc
s
N
y
umber
G_//
(3) location of existing and
(6) location of sewage sys-
State License No.
Ind. Ins. Acct. No.
,REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
l_3
IOwner or Agent ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7-6
DO NOT WRITE BELOW THIS LINE
Your stredeet address will be ` 11111 ._. +
t-it_Q.-- The zone 1s -Jy,"N ct-ra y.'
Sewage Pe mit Number Issued Building Permit Thydj. Receipt tf Issued
Remarks
Form 523 Bldg. Code
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