1976, 12-09 Permit App: L6457 Residenceore.% taster
Co my of Spokane. Washington
BUILDING CODES DEPARTMENT, N.811 JEFFERSON, SPOKANE, WASHINGTON 99201
7
APPLICATION FOR LAND USE OR STRUCTURE PERMIT y� r
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
Name of Owner LO Q S 94 .44JOC/ATI"1" Address ..Se9 .316 MA/if Phone 9.2 FJ;ret)
Architect Address Phone
Engineer Address Phone -
Contractor .S 4in L °- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) 1f/T 9Sin sC ,2 ,
kw St AI/t'Ls/d+.t/ — f'A£rxL G.23 -V/- O?aV
DESCRIPTION OF WO>R�K: New X. Addition Remodel Moving Bld Zone _7_ Fire_ Zone
Size of Lot 8ra/e 4 5C Py,- Sewage System 0OP/74.- const. ird ieL L1 L -.
J/ Prlo"-- • 6 ibe4e L. �L_e..0 Fr:, Conc., Br., etc.).
Stories it, Dimensions 01 9' 143 V /9 ,i 2-0 .tX r Total Sq Ft /eft 0 Valuation 3'S s'J
Rooms ri Baths T' Basement/r1//L Foundation Const C,lyc/LC le -Z-_ Chimney Fireplace
—Trill, part, none) (Kind) (Number
Heat. System kik L-- Type of Roofing Caen Al Ext Finish Fig/Zen r_— Int Wall Finishre'ei//t!_
Use of Bldg C%[r LL Fehr/ A/ dal' Jolet4 . st fre(/ /9-17-: Cten ee5 L-- No of Units Bedrooms
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
1— 4 /21-2e-1/1.0 ,r au)
SOUTH
State License``ns\No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing PermiteLi%L t'p2iZ
nt Heating Permit ./%%/i k ain't
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certi to ormatioj4ubmitted is correct and there are no other structures located on this property except
as shown.
7e1 /.,;,//c/ /J f,
Owner or Agent D e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be "li o c/ //B
Sewage Permit Number Issued
Remarks
/ --
The zone is
Building Permit pf, 6`fcl ?Receipt 1f9/,3 Issued
Form 523 Bldg. Code
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