1976, 12-01 Permit App: L6375 ResidenceCcwanty of Spokane, Wask.ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 1141 -
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anyy
kind or alter any building or structure already erected, or to change a land use. Contraction 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 Nog, 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 thestructure 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.
ENSTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedicatil{gs.
�j .�• APPLICANT FILL IN BELOW THIS LINE tj
Name of Owner �-l.• IJtu.Address /0. 5 )e Li- i Phone kir `S
A hitect Address Phone
En neer Address ' ILok V
Ph•ne
Contactor Address
Legal De ription of Property (Give omplete description from deed, tax rece e 1 VrAd
l � tSP k C-eayw G-44.6”_.! 1E " ice' -/-i - 0 .<912 -a 7A7
7
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 8U K /LiD Sewage System 5.% . /// Const. Pen me--
(HY
^dtt.,Arf/h� (Fr., Conc., Br., etc.)
Stories�H: 1 Dimensions � 't 34 /£tic 8 X i o Total SqFt i5/4 �.2 sna
6 Baths 1 Valuation
RoomsBasement uLL Foundation Const Go OC �Q
(Full, part, none Chimney Fireplace
O (Kind) 1-. - (Number
Heat. System f -LCC& 6.6 Type of Roofingxt. Finish 7 % -/1 Int Wall Finish /rr o bean n
Use of Bldg. RCS pCc.� (it
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 property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.,
No of Units Bedrooms -Z
NORTH
RESIDENTIAL — OMMERCIAL
I hereby
as shown.
?l street address will be 11 3051 e
Sewage Permit Number Issued
marks
't
Ow r or Agent
SOUTH
- State License No.
ok
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
y, Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r•mationybm>tt i correct and there are no other structures located on this property except
I �
/7c
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE Dstructures lCOMMENCES: 1�
.THIS 1S NOT A PERMLT.
�/ DO NOT WRITE BELOW THIS LINE
Building Permi
The -zone is
75 Receipt `t4 a. Issued
Form 523 Bldg. Code
PJI RNr'Aties; Addn'.
STREET !ADDRESS
11304 E Giece:
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