1977, 01-26 Permit App: L6822 Residence_
Caanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT_
GENERAL REQUIREMENTS PERMIT FEE Y6 `^
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 onwater 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 ac ordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BU INGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clear ce must be.obtained from the County Engineer and/or State Highway Department.
(ACCESSORY BUI ,INGS. 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 dedictionst
k APPLICANT FILL IN BELOW THIS LINE
Name of Owner ..140-9106.0-0.1. 4d.r. - Address • • ?/ 7 !&� Ds Phone
Architect . Address Phone
Engineer Address Phone
Contractor@Address Phone
Legal D seri on of Prope y (Give comp ete scriptio from deed, tax re pt e c 1
-7420 ildneLe
.?7,4'svy- 2Pes
DESCRIPTION OF WORK: New k -'Addition
Remodel Moving
Size of Lot bib SIZE Sewage Syst
Stories...L.Dimensions,,,CX o2Me.i-70r'*V' i- RA/X.ZV Total
Rooms Baths BasementLL Foundation Const Cbitiet4 E%
Full, part, none14)
Heat. Systeme P /Q Type of Roofing Sang P � Ext. Finish Os.D
Bldg. Zone / Fire Zone .7
em SBPTie. Const.1' CrRr4A2e+'
(Fr., Conc., Br., etc.)
Sq. Ft. /7116 Valuation. S oco
Chimney 4 di Fireplace —
(Number
Int Wall Finish PRI? 6_ /4 �, L
No of Units L Bedrooms .3°
e of Bldg. S/NG L.0 Pt ahl /Ly/
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.
to
N
NORTH
RESIDENTIAL - COMMERCIALS
I hereby certif rmati
as shown.
/mo1.i
Owner or Agent
SOUTH
submitted
is correct and
rim State License No.
-32u95.— flS —aJ
Ind. Ins. Acct. No.
• REQUIRED
Plumbing Permi
Heating Permit
Sewage Permit
Plans Received
Plans Checked rlj
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOTA PERMIT
ym
Q j•L/y/2 DO NOT WRITE BELOW THIS LINE
street addres will
-77
tour st l be /LPC a.Q X /CyLC/-
Se+age Permit Number Issueds Building Permi
Remarks
COMMENCES.
The zone is S ER
Receipt 5 -5 -FS Issued
Form 523 Bldg. Code
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