1977, 01-27 Permit App: L6783 ResidenceCanty of Spokane. Waslr'tigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ��jj
GENERAL REQUIREMENTS PERMIT FEE c /f
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 qJ�/6 •
Name of Owner
'�'•1/,gVA/E 2 s/Nfr.'EME/C Address g Phone 96- G574,3
Architect Address Phone
Engineer Address Phone
Contractort Address Phone
Legal Description of Property (Give complete description from deed ? x receipt, etc.) -a 35.4 1 - 90 '-
DESCRIPTION OF WORK: New Addition
Size of Lot 9± X. O 1-
4E1'6 L 4E1'6L
Sties Dimensions
Rooms
Remodel
Moving Bldg. Zone / FirerZone
Sewage Systems/7 7 4 ponst. 4' ' Er
Total Sq. Ft. a-rerg valuation 0
aZ.K7a
Fr., Conc., Br., etc.)
7 Baths Basement t'LL Foundation Const 1e914/-lO�J Chimney Fireplace
Type of Roofing 54MIIJ % 'SP DKA0FFinish 490 Int Wall Finish e94 /a4t✓-Q'
Full, part, none (Kind) (Number
Heat. System
Use of Bldg.
r
No of Units _ Bedr oms 3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4), distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
t m and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
I hereby cert'fy informs on submitted is correct and there are
as shown.
-4
State License No.
Ind. Ins. Acct. No.
////71
REQUIRED
Plumbing Permit
rrt Heating Permit
• Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located
Owner or Agent Date
A LAND USE • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT
on this property except
DO NOT WRITE BELOW THIS LINE
Your street will be A/31/
addres wi
The zone is
Sewage Permit Number Issued Building Permit Il L 7 � Receipt .SS St
IeBued
Remarks •
Form 523 Bldg. Code