1976, 12-01 Permit App: L6378 Residence�i
CC,aety of Spokane, WasRkington
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 ally
kind or alter any building or structure already erected, or to change a land use. Construction must conform ■ith 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 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 L, CGYlA l/)t.c.e-�� - Address _1 • O HviL ! y' T. 1�• Phone Re-�3 6
Architect - Address . , — Phone
Engineer Address ��- Q d Phone
Contractor - Address Phone
Legal Description of Property �(�Give complete des /�,Fiption from deed, tax receipt, etc.) i
0\1:e �7 ) R .k 1 -rQw u-C/LC.a/ trax . Mad �P — .F+.- - :`f \ 6 g to.
0751
DESCRIPTION OF WORK: New ✓ Addition Remodel
Size of Lot $i)` X Alb 1
StoriesSe`b Dimensions .,Z Kj'f
,3
Rooms le_ Baths / Basement rut Lt
(Full, part, none)
Heat. System(BCGree Type of Roofing ia rnlo Ext. Finish
Use of Bldg.
()ea-
Foundation Const
Moving Bldg. Zone _/ Fire Zone
Sewage System Sr i onst. Perim e-
(Fr., Conc., Br., etc.)*
RX In Total Sq Ft C../1 ' Valuation?a DI>. Da
J
Lo,vCKe%f"fi Chimney J Fireplace (r)(Kind) (Number
1 – 11 Int Wall Finish %tf)<R p tin R2ri.
No of Units—Bedrooms 01
Re -c t ex-fc I C 11'L
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.
NORTH
COMMERCIAL
I hereby ce
as shown.
SOUTH •
State License No.
K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ormatioA subm ed is correct and there are no other structures located
er or Agent
Date
on this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
1/21t, P fit.
Sewage Permit Number Issued Building
Remarks
p
Permi
The zone is ijt _
Receipt I ued
Form 523 Bldg. Code
LEGAL• DESCR I PT I ON
iot;:3 Bik. 1 '
.Fair Acres Addn.
STREET ADDRESS
-3_,t.11316
E. Gre_
PLOT PLAN
Scaler 1" - 20'
1
4'
•
;:p0
i -O"
9
II' x2?'54-o"
"PARru - .__._....
" r _ . 'CONC ET6 PORCH
A6ove.
LOCAV.i i a ,,A&) PA2caNG.