1976, 05-21 Permit App: L3958 Garagei
aunty of Spokane. Wa t�iington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 o
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / /3
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 workonwater 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. Wheretbestructure 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.
//�� % ^n,
APPLICANT FILL IN BELOW�ITHIS LINE ��Q.d t, qqa-//o
Name of Owner /�/,L!'.111. A At-c-ce-pc-kQ.L.Cj'i1�� Address L / 4SJ ' 1440..241./a4-1- Phone
Architect Address Phone
Engineer ����,�, ������� ////'' Address pp Phone ,J
Contractor lice -1-w U ( - Address �Hn (ACtq-9'9. 43 Phone (-Ca - /f X27
Legal Description of Property (Give complete description from deed, tax receipt etc ) ./Y'Q_/-CL-Q t/'7 '13 -'29/3
tidre, Beier ,40D reG.67/i,l? w/TH Thi. PORrOVACAT.eb kj,¢/A/ AV.5 A`JG N- y- A04- TV
5.A1D Lor DFS. A-5 id.t<• -BE4 AJ NWoA,.
Cog. u �LdT (o i /i, A/. Hid �S �, AY A O/STANCG
/yl
fad( Ti/, n/. Oi47 fTH a Ai /RCIAL4R CURVE TO TH• t/GNr .ere
DESCRIPTION OF WORK: NewAddition k Remodel
Size of Lot % D O k' / 7./ /
Stories_LDimensions / (o X a.1
Rooms L_ BathsBasement An,f/,,QQ
-Mt, part. nonce
Heat. System
Use of Bldg.
Moving Bldg. Zone ,— Fire Zone -3
Sewage System //4 onst. ,q-/A.t�1-te -
(Fr., Conc., Br., etc.)60
/� _ Total Sq Ft ' valuation �950
Foundation Const (; Chimney 1t/ •4 FireplaceN'4
(Kind) a (Nu ber-j�
Typ oq� f Roofirt�ALS q_ Ext..Fipish Int Wall Finish'- t/�E.- nCIL>C
p 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-
em and water supply lines. .
/i/N AV
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
I hereby certify information submitted
as shown.
.State License No.
2A3-0/ -173.23
Ind. Ins. Acct. No.
-a3-1
�UT OM F/A.E
REQUIRED
Plumbing Permit
w Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
S -of/ -7(0
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage.Permit Number
Remarks
rd. , / 45/ Cas l,[- !
Issued Building Permlto 9,5�/ Receipt
The zone
Form 523 Bldg. Code