1976, 09-29 Permit App: L5739 ResidenceCantY Spokane, S okane, Wasl gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT e)a -
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 mast 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' 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 \i/ .1,0.t,1/Q,41, Address QQ7-3 �Ox/? Phone ✓%� ,-4.75---C-,5—
Architect oo�� Address Atcoy%e y L , /, ,...27,--4-z Phone
Engineer Address F�� -73 Phone
Contractor ..:5.,CZ ,o7.? Address Phone
Legal DescriptionofProperty (Give complete description from deed, tax receipt, etc
Z. ! / se /0, c/-,c-
sRL 57— a--'`�7
DESCRIPTION OF WORK: New i Addition Remodel
Size ofd jfs' y
Std"ries Dimensions 7L i a C
Rooms li Baths Basement (4/1 Foundation Const e
(Full, part, none)
Heat. System /; 47. Type of Roofing iS A,4..-€ Ext. Finish
Use of Bldg. pv „ a w AI /7- 4 `r x—,7 A7,..r a'
Moving
Sewage System
Bldg. Zone Fire Zone.
.57c /A Const. /1'Ff /n
Fr., Conc., Br., etc.) ao
Total Sq. Ft /93-Z Valuation 'e/e%DU
Chimney /'/'/`4 Fireplace
(Kind) (Number
Int. Wall Finish 79/'x/ z -,' //
No. of Units L Bedrooms
lijjUOr-+�
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
NORTH RESIDENTIAL - COMMERCIAL
I hereby certify infor
as shown.
II401
0
OwneA LAND USE OR ST'THIS IS NOT A PER T.
SOUTH
n submitted is correct and there
m00%/
Agent
m
fA
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit i^� r.
Heating Permit
Sewage Permit Q ,a,f4/
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
74,keciio- ?
Your street address will be
DO NOT WRITE BELOW THIS LINE
,S C74t \ 11 4k -14-v14 ci-
Sewage Permit Number Issued Building Permi
Remarks
The zone is )2...4,
‘5--,737 Receipt 34/5 Issued
Form 523 Bldg. Code
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