1976, 12-09 Permit App: L6459 ResidenceVtd
4.1/47
County of Spokane, Washldgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE' OR STRUCTURE PERMIT kB�
GENERAL REQUIREMENTS PERMIT FEEv
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 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 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 !Q/. /t S cc /lssoc /Ai :S Address ...572 • :7..2 Lr ,%vex ,€D Phone /it n#V
Architect Address Phone -
Engineer Address Phone
Contractor SAM e - Address Phon,„ —
Legal Description of Property (Give complete description fro deed, tax receipt etc ) Zo% 7- ,G1-Locsic
Ai AJ<+ SUIDsa'ssietn/ - jiaitat'[. 02 .3-51/-- O4n7
DESCRIPTION OF WORK: New Addition
Size of Lot ?o k /912
/rota('o lrnlle
StoriesIDimensions 2Y Y4 3:l i9 x 20
Rooms Baths ?/ Basement tut <- Foundation Const
(Full, part, none)
Remodel
Moving Bldg. Zone / Fire Zone S a
Sewage SystemtSr A9/7 G
�nJ Total Sq. Ft./86-n
COA/C. e
Const. ,tz MiC
(Fr., Conc., Br., etc.)
Valuation -33- %/L
Chimney Fireplace
(Kind) (Number
Heat. System /LEL- Type of Roofing C2of'Yl. Ext Finish %-/'cs77ti Int
Use of Bldg.,5//gCtt FAMs�t �e �Qaf• - tv/DDAti. /417.46-1110(th¢Aer No
/ 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.
Wall Finish a e�l/S L1_
of Units _Bed/ ms _ ai
ut
y
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
s
N
State License No.
6
Ind. Ins. Acct. o.
REQUIRED
Plumbing Permis5 2 i'L l-1�is1/i.
Heating Permit AtinV LOG 4
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans'Mailed
I hereby certi formatio • submitted is correct and there are no other structures located on this property except
as shown.
:{PS�izi.Cr�
Owner or Agent
6
/��7
Date
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
Remarks
2.
Y7/9 i/o •Lir/ t(5 �� The zone is ac -
Issued
Issued Building PermitfA--6-, -F. Receipt/ 9/3 Issued•
•
^-n
Form 523 Rldn coria
w
0
77
i
i
,t,
•
L c, L
17.0-1 " f")
I , � i .
e�._.._.._. i-
• .