1976, 09-29 Permit App: L5740 ResidenceCoity of Spokane, Wash ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3o
GENERAL REQUIREMENTS
PERMIT FEE
or
e of
PERMIT orEQr altter anylbuiuse or lding ors structure alreadyit serectedd by
touchangesalland use.erect
Constructionnmust conformrwith the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
the surface, shoulders be
County Roads, permissionand State ealth must bepobtained fromre theork on Countyster Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
eastAisMTequired, LINES. In most
side zones and
side yardrmost from acflankingnstreet,sandback 25' rearthe
yardfront
areproperty
requiredline, of at
leastSTATE 25'clearance must be obtained pertaining to set -back and ingress
HIGHWAYS. Where the structure abuts a State Highway,
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
HOighway,OclearanceNmustAbepermit
obtainedrfromred theto move an County Engineerland/orlState Highwaybuilding
Department moved on a County or State
t.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a re aeseparate espermid eageeents running with the land
RESTRICTIVE COVENANTS. Builders should check provisions of covenants
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS AddLINE
� r //i ox Phone 7 � sSPs
Address Phone
Name of Owner .J / f'+J l ' a�/t' / Address, y
Architect Address Phone
Address Phone
Engineer
Contractor ,•57 , -G
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
fri f4 /D erk
•LfPri{�/IOG/ r0/?CS�
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot '/ ?c
t
Stories ___:_Dimensions y Y A
Rooms
Baths Basement
(Full, part, none)
Type of Roofing/S A, ,e A',e_ Ext.
V /✓ -d4b_//&/v./.r OA A -
Moving
Sewage System
Bldg. Zone — Fire Zone .3 F,'» '�
Const.
Fr., Conc., Br., etc.)
Total Sq. Ft. /922 Valuation •17/..F":7e"
Fireplace
(Kind) (Number
Int. Wall Finish -pf /cL //
No. of Units 1 Bedrooms `T
Foundation Const.
Chimney
Heat. System J-. `. 14.
Use of Bldg.
11 M
Finish=4,00_,/
0c7
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.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby cer j information submit
as shown.
Owner or Agent
ed is correct
m
N
-1
and there are no other
State License No.
Ind. Ins. Acct. No.
REQUIRED
1, u
Plumbing Permit
Heating Permit /¢ ///f MC/aR A
Sewage Permit
0 /0,9,1,6. —
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Date
A LAND U OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(97-mef✓c yrs°; C� DO NOT WRITE BELOW THIS LINE
'L� Sy l &3 %1/1li.%-COL 4vt The zone is
Issued Building Permit d`51q Lteceiptr ‘/_.5_Issued
Your street address will be
Sewage Permit Number
Remarks
/30
35
35
/0 —7
d e,
po-r Ph/n/
5 wovc/ /5.0/YPs/
S7 e ,7 --
TI