1976, 03-22 Permit App: L3031 Residence•
Coati, of Spokane, Washi gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 l�I i
Address SA % t }t &.trtf-U.vr-d Phone 9 r'L?
,Name of OwnerC i .x+ A ,r�JR-G-4-sem
Architect
F _ + Address I. 94 2- 15 Phone
Engineer Address Phone
Contractor .S. .9.-- t -f Address Sm�.-.-« Phone
Legal Description of Property (Give complete description from deed, tax receipt etc) J+�er..-^,= �� � it S. Ca
9.1,49-0....- p/< �.Y LLzeP.na Po...—r- ,r, + s.rr, .;a5 32-''90 2 i
V i
DESCRIPTION OF WORK: New a! Addition Remodel
Size of Lot R3" Y /4(4/
t^q"' tw9
Stories —Dimensions
Baths Basemen
part,
Foundation Const
Moving Bldg Zone ___L___ Fire Zone a
,26 Yadr
Cosa ...
Sewage System v onst
Fnst.
Fr„ COnc., Br., etc.)
91.1( �' 1/.)t // 5i.A -Total Sq Ft { 960 valuation y^2 d"d-O
Rooms
��//��
Fu I, part, nope) ,�!
Heat. System Ct.. 4_ Type of Roofing €11,-,--E2 Ext Finish "7 / /
Use of Bldg. t a i C/>' el./Ltdt
1 v
Chimney " Fireplace 42—'
(Kind)AA (Number
Int Wall Finish /l/ -'r d�
No of Units _ Bedrd,�o/ms 3'
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
no
no
—I
NORTH
PLOT PLAN
property lines; (2) street or road 1Kcs ions; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
t-- )6
Oct SOUTH \
\
I hereby certify information submitted is correct and there are
as shown. `pnrr, ¢ �1 . ^ afJ
v r OwnerAge/nntt/ •, )i`
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9.u/14441 DO NOT W ITE BELOW THIS LINE
I 4L / P;,t/
Your street address will be - " L„d '
Sewage Permit Number Issued Building Permit - d3/ Receipt / ssued
Remarks `.
1
i
State License No.
pp3 -to - //4 3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 9.- M
Heating Permit ill
Sewage Permit lad - I Qi
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
3—,2D.--,7(
Date
The zone
Form 523 Blda. Code