1976, 12-01 Permit App: L6377 ResidenceCt,anty of Spokane. Wasti;.ngton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE; WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
a
GENERAL REQUIREMENTS PERMIT FEE .__. c2.
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 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 1s 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.
,p APPLICANT FILL IN BELOW THIS LINE
Name of Owner 7.-�- 6-eCAA -,. Address (o- get a.? T./0• Phone S38-& fl)
Architect Address'A '1 Phone
Engineer Address I 9 .g 02i t, Phone
`*ntr Address Pho
Description Description of. Pro eny (Give complete deso. rom deed, tax receipt etc.)
4 g
net i`f -' 7S/
Y1To <a o
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 'Ale-) r X �� Sewage System illconst f lC4ioei'�_
SA t- �g 3't J)cc-tc- SX �Fr., Conc., Br., etc
Stories •off#_Dimensions �O ��
Total Sq Ft �.S Valuation ci 'ch.
Rooms Baths 1 Basement a!J— Foundation Const CoMC2L+ fv� Chimney ..� Fireplace t^)
(Full, part, none (Kind) ( (Number
Heat. System atcfi ,8_(5, Type of Roofing C. „,V, Ext. Finish T (-1l Int Wall Finish bnle0 inA-0-13
'Use of Bldg. RCc _ Lf Oeta(a Ci- C(An p,,, GJ No of Units _ Bedrooms 9(
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.
y
NORTH
RESIDENTIAL - COMMERCIAL
I hereby cer
as shown.
SOUTH
State License No.
61‘.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
.. nfor tion submitted 's correct nd there are no other structures located on this property except
al % � ixrn % 1).A\ J. -2c
Owner Agent
TR TUBE PERM T MUST ON T
i
A LAND USE OR S HE PREMISES BEFORE
THIS IS NOT A PERMIT.
Yoiir street address will be
(Sewage Permit Number
)(Remarks
4
DO NOT WRITE BELOW THIS LINE
//3 ca eJ The zone Is
Issued Building Permite43 77Receipt t4' gE
Date
CONSTRUCTION COMMENCES.
s=ued
Form 523 Bldg. Code
STREET ADDRESS
'11322 E. Grace
t
LEGAL DESCRIPTION
PLOT PLAN
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