1976, 08-03 Permit App: L4966 Residencee •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
dO
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REWUIRED. 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 LLINE/L,t.dL 99030
Name of Owner / /' ddress o 7 J,Ptli 2z2'Q
Phone9/ - 4 7AS
Architect Address Phone
Engineer .,�,flI' �w�n Address Phone
Contractor M, dl-i4f Address �OA'7_" # Phone
Legal Description of Property (Give complete description from deed, tax receip , etc.) 6Q .3354 -90
% d r,-5- fl Ll( P .x+zM . / At kjt(
DESCRIPTION OF WORK: New X Addition Remodel Moving BIqg . Zone I Fir one
Size of Lot / d c2 x 70 Sewage System pQ0)0f� i onst.x1 14-1
It / (Fr., Conc., Br., etc.) ja_d
Stories Dimensions .2 9'X 2!0 /ja"1'' 2GK 241 % 2�Xr2..*� � �.}- Total Sq Ft / rq6� ValuationV,u417 000
Rooms �— Baths2 Basement Foundation Const 1Ati._Ly. ¢) Chimney - glieplace
(Full, part, none • (Kind) (Num.r
Heat. System /'. F' Type of Rgpfing -1EG�inish 7—/f/ Int Wall Finish
Use of Bldg. 0.4 ofirf�'P� itWty_-f-LL.C�P -et
No of Units _Bedrooms 3
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
RESIDENTIAL , COMMERCIAL
State License No.
6K-4N-,'JL,s
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
• SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address wi11 be r Of/ S. r 1.1../-1. The zone is 0114 2•14.IC&L-
Sewage Permit Number Issued Building Perm i . UGI/
Receipt Z 30 Issued
Remarks
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State License No.
6K-4N-,'JL,s
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
• SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent Date •
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address wi11 be r Of/ S. r 1.1../-1. The zone is 0114 2•14.IC&L-
Sewage Permit Number Issued Building Perm i . UGI/
Receipt Z 30 Issued
Remarks
rnr,., ton Rldn mode