1976, 07-09 Permit App: L4636 ResidenceCIL Spokane, of p okan
e. Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT --1-1---61-LQ'
GENERAL REQUIREMENTS 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 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 9cr�
Name of Owner +_ < �� Address
Architect Address
Engineer Address
Contractor , 44LP _ Address
Legal Desci3ption of Property, (Give complete description om deed, tax r ceipt, etc 1
c � 7 V6i1o.n_.1'. � f rv� f'� r� , 4;
Phone
Phone
/24/- 41-,./7"
Phone
Phone
�.._et.x..c•A x .4454 ? -
DESCRIPTION OF WORK: New X. Addition Moving
Size of Lot cf/ i X '79 ' )( am ' X a.G '' Sewage System
Storiesi___Dimensions 302' X-5/6_,etri_,yJ; .24/'A-1.2' _, Total Sq Ft
Rooms A BathsBasement ...�
.. Foundation Const
(Full, part, noj
Heat. System ,2&cet.. J Type_
of Roofing xt. Finish / - ///
Use of Bldg. 17J 7( .4.7,a-t._aCx...x,4.0% /. , „-dri,
(IA -
Remodel
BI Zone _2_ Fire Zone -8
(flit -C(- J
Chimney
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
Const. t'� tea/
(Fr., C Br., etc.)
Valuation ASO, ova
(Kind) Fireplace al.--
// (Number
2
Int. Wall Finish rte ftw-- J
No. of Units _ Bedrooms
m
y
tr �
(3) location of existing and
(6) location of sewage sys-
State License No.
O K /9 F -/,t ,f
Ind. Ins. Acct. No.
-e 7 7
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
as shown
ereby certify information submitted is correct and there are no other structures located on this
or Agent
property except
" j� z+ .rte _'97
A LAND USE OR STRUCTUREDato
PERMIT MUS E ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT�. , I
644- 74444-
DO NOT WRITE BELOW THIS LINE
Your street address will be Ail 7/,1 .L6� � t
Sewage Permit Numbern
Issued Building Permit
Remarks
The zone is
it/3L Receipt Issued
Form 523 Bldg. Code