1976, 12-03 Permit App: L6376 Residence337
Chanty of Spokane. Washangton
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 nay
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 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 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
/� Jy--,, _/L.�. �� i bb t�
Name of Owner AC (r,s ' .tnn... Addressil) (l1 'i' %4
Ar gh itect
EnggYneer Address
actor Address
Address
to cl ✓2 "-
Phone
Phone
Phone
Ph e
al Description .f Property (Give complet= .escripti. from deed, tax receipt etc
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DESCRIPTION OF WORK: New ' Addition
Size o���
ff,,L,oe
Lot KO ` X St
at
Stories Dimensions 024 ' )( 51 n /
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System S T ( const. —g^
(Er., Conc., Br., etc.
Valuation .3S 6 /N+ fba
Chimney - Fireplace a
(Kind) (Number
Int Wall Finish I+4co boA.c.o
3
Rooms 7 Bathsf BasemFLA-ent i.l Foundation Const.
Full, part, none
C a M e -.C. et_C i
Total Sq Ft 75'44
Heat. System / r; -r - A. d . Type of Roofing Ext. Finish
Use of Bldg. j'tC,-ec )-1-.. tL 4-• cymea CT'
PLOT PLAN
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
tn
-I
NORTH
No of Units Bedrooms
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
:7-0T—a-tr
SOUTH
I hereby cer y in oron s
as shown.
State License No.
• ek
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
mitted is correct and there are no other structures located
on this property except
Ow,(br or Age gi Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. ,
THIS IS NOTA PERMIT. r
DO NOT WRITE BELOW THIS LINE
+
lair, street address will be /i3fn / 21,tLLu
e zone is'�
Building
Sewage Permit Number Issued Permit J/ Gx ceipt y7O Issued
Remarks
•
.d
Form 523 Bldg. Code
•
•
,
STREET'ADDRESS:
11310 E. Grace
•
PLOT PLAN
Scale: 1" 20'
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