1976, 12-09 Permit App: L6456 ResidenceCi Th
nty of Spokane. Washgigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT t�
GENERAL REQUIREMENTS PERMIT FEE .__.y 0
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' 15 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 tc/, 1C S Q 4 -se -0 C Address. �'.2 t ,_L .Co Phone?� :�-�-�'C%
Architect Address Phone
Engineer Address Phone
Contractor .5/4.211 x. -Address Phone
Legal Description of Property (Give complete description frAn deed, tax receipt. etc ) %�-O7' (n --!J )%t' -e2 _-/� "Z
/4<>/0,,Ta, Os✓ACivt2—VA2c,cz. 10a.r'vi - C/Grah.,
DESCRIPTION OF WOW: New Addition Remodel
Size of Lot 5V K /5/
Hmfat G 4/Lac
Stories Dimensions
-96 i.2E Rooms Baths Basement F'« < Foundation Const
Full, part, none) /
Heat. System £L -G C. Type of Roofing 01,42 E
Use of Bldg /A.1
1
Moving Bldg. Zone�—� Fire Zone l�
Sewage System es6/'/t/l Censt. F2Ani C
d terC (Fr., Conc., Br., etc.)
/0 'IC /7- Total Sq Ft P/96 Valuation ?.S,
coivc2GTL Chimney 'Fireplac ' 11111 /
(Kind)
xt Finish f'R/'//Y/L-- Int Wall Finish )4-7l/i//71
No of Units _Bedrooms a-•:-
dtria
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
A-7779eidt Fie 7/01/4/
SOUTH
I hereby cert '±Y ormatited is
as shown; /
correct and there are
a
N
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Sf' /tir. /////ire --
Heating Permit in/M///it L
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner or Agent.
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
4%7n/ /Pio ' .Cuc'i�!_
Remarks
The zone is
Receipt A/9/tj ® Issued
rirtwa
Form 523 Bldg. Code
t.
�a.