1976, 08-16 Permit App: L5086 ResidenceIII i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE �Y%00
kndITrEQalRID•anlistructure
pscyucslnto erect
nor re of the
ior tany building orstructurealreadyereted, ortohangealand use. Constructionmust conform with
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
thsurface, sh. Water oulderssorbditchesvof County Roads, permissionand State ealth must bepobtained fromre theork on Countyster Engineer'stOfficeisturbs
the
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SleastA25'FisMs Tequirea LINES. side zones
side yand rdrmost from acflankingnces, a street,sandback from 25' rearhe yardont areproperty requiredline, of at
STAst T
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.
which lareyenforce enforceable throughrciviluld check action. Countysions of Officialsocanants or not bringdactionntosnd enforceeents covenantslng with the land
or dedications.
APPLICANT FILL IN BELOW THIS LINESj
Name of Owner T /� Y l d r Address
g q //e'ilr Phone 992,1?'" 9cj
Architect 7 Z9 t} ,--"#1
Address Phone
_. ,lAddress Phone
Engineer Phone
Contractor c�)1�1�./c ,2,J Address
Legal Description of Prop (Give complete des ription from deed, tax receipt, ety.) �. 7-5Y—�� ��
/nT i i /C / ( 'c-.h1-",4htS ..)tclj !J
DESCRIPTION OF WORK: New y --Addition
%6 X/a 5--
Size of Lot
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System / const.
(Fr., Conc., Br., etc.)
Total Sq. Ft /39..1. Valuation ,21/1,0r10
Stories_i_Dimensions ,24/X.-..6-?
Rooms .- Baths / BasementI 11
(Full, part, none)
Heat. System (`I/eco Type of Roofing
Use of Bldg. ✓ri r-,',3 )
Foundation Const. eOlhc' . Chimney Fireplace
//
(Kind) (N mber
Ext. Finish /-l*/ Int. Wall Finish
No. of Units _Bedrooms 2
11lZ�c u
e..
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.
m
to
NORTH
COMMERCIAL
I hereby certify info
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
on submitted is correct and there are no other structures located on this property except
Owner or Agent 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 Issued Building Permit
Remarks
The zone is
•
Receipt 251 %Issued
r G 23/194 k' / all rands Su. .
•
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/ AA n/Sr/J'LD
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