1976, 07-09 Permit App: L4632 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
O0
GENERAL REQUIREMENTS PERMIT FEE 542
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 surtaceti 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.•
t`
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.
Name of Owner
Architect
Engineer
APPLICANT FILL IN BELOW THIS LINE ' , , , , 99,Q a/
Address • Ha P• ��-- Phone 922-S1//
Address
Address
ddr�«!�/9; /�e•d �tG7� I O42//l pi,.,.,09028. 6 ��
p Phone
2/24.124tit Phone -
- O
t.ontractor A
Legal
v v ...
rM.,,, \r .-”,.1 c_«ti
rQi!-f'>K.
Description of Property /Give complete description from deed, tax receipt etc
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'i3 ' .0-774.2 -.-i,30
,L or a pi.,t< 4�, Ac PA-44.tl
rn
m oca
o ff en z z 7 Sy WEST m
OF WORK: New is Addition Remodel Moving B�ld�p. Zo�n Fir e�� one
Lot r.0 -X / 3 / Sewage
System .>t10-191/2-"
Total Sq Ft Z•-�
._—I
Const Ji4CI""YKC---
of
, / /
..Z&- t k -f /f X /,Q t '41X.49 -F X /2
(Fr., Conc.. Br., etc.)
Valuation •S4-0 60 tl
_LDimensions
BathsBasement• -t-.(/ X X Foundation Const M��'��'t
�� Chimney
nt
Y. / Fireplace '
_27__.t
-f-Full, part, non)
System (CIIJ)n(d•f'.(� FA Tyr of Roofingnfish
q( Ext
(Kind) A (Nty!ibet n
Wall Finish rn'I
- .FFiiinn
of Bldg. !"iJ-L{Ln j,�f\ OALtd1�LGCPiR=..*L .f -CLC «1 No of Units Bedrooms
Draw sketch with dimensions
buildings; (4) distance
and water supply lines.
PLOT PLAN
showing: (1) property lines; (2) street
to property lines and streets; (5) dimensions
or road locations;
of buildings;
Plumbing
mHeating
Rt
Sewage
-I
Plans
Plans
Plans
Plans
Plans
other structures
7 —--t
(3) location of existing and
(6) location of sewage sys-
'
NORTH ESIDEN -COMMERCIAL
State License No,
O K a /Y F'/L5
.or
Age
le -
11,11111.111. 116 d'e
illir-
Ind. Ins. Acct. No.
REQUI : l
Permit
PermitCZ
Permit
Received
Checked
Returned
Picked Up
Mailed
located on this property excep
9
I hereby c rtify inftioryry66ubmitted
p//
SOUTH
is correct and there are no
it�
A
THIS
Your
Sedag%
Remarks—�y
i
ner or Agent
LAND USE OR STRUCTURE
IS NOT A PERMIT.
(9 , illacut St
l Date
PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
street address will be
3 0 (O ...--;-"Zee'Goj�"
zone is ____f-
C.'� The
'Permit Number
Issued Buildf emit 1) y6,T ; Receipt / Y G Issued -
Form 523 Bldo. Code
ti
4 20'