1977, 02-14 Permit App: L7003 ResidenceCounty of Spokane, Washing
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
�/63
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.
NATER. 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 accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit 1s 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 PC1- A s t /¢s -roc /t/ C— Address So 826 /l/,vcr /20 Phone 92 r- o
Architect Address Phone
Engineer Address Phone
Contractor giftZ Se)Zf de.— Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc.)
16r .2 /,Rock 2 !</,v6 < aro/v/-ova../.--
AR>Lett 0 0z4-5/ I - 070.Q --
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot
eel ;</y0—
vas A- 6HRF4GC
Stories imensions 36 $.74 r�f-/24t
2 t'tL (Kind) (Number
(Full, part, none)
Moving Bldg. Zone / Fire Zone
Sewage System SLs Cf C. Const. /-& 19 ,.t �
pC ciC (Fr., Conc., Br., etc.)
/OX/2e Total SFt Argy 34t Sim -r
q �Valuation
Rooms Baths Basemen Foundation Const. COd/e%LLrz,_ Chimney/Fireplace 2
Heat. System /tic- /fI Type of Roofing CeoAifPOS/77os/Ext Finish fl,Cn/Y/R1..— Int. Wall Finish 72,a�/tv/7LL
ULe of Bldg. /.v. Lit /i / S/OG.f1CQ ) / IAC /LO d:—of Units_Bedrooms 7'
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
—t
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIA — COMMERCIAL
,4-77acte/cD I°497— 'ifeCi
SOUTH
I hereby certify }4Yprmation s witted. is correct and there are
as shown. // �r
Owner or Agent pate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS N(O�T A PERMIT.
,
714 12fri272)
Your street address will be
Sewage Permit Number
Remarks
TF
N
y
State License No.
6 K OA/ /-t'LE
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit 7r/%A /Vii7l7i
Heating Permit einx_m' 'LC t/Lc
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
4/%,7 A/O . /Cu ci t L .QP
Issued Building Permit
The zone is! .F . o-t-,fu,L
74n3Receipt,��%� Issued
Form 523 Bldg. Code
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