1976, 11-17 Permit App: L6238 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1/a
PERMIT FEE
GENERAL REQUIREMENTS
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 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 y1t3G1:::) ��.tcr Address—20‘ 12 X 7 pizaii 7.J-iJ sx Phone 4P91-1 Pf Z
Architect Address Phone
Engineer Address Phone
Contractor JAMF Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
S tiermx --T AflP=f r
' 7(....6-r 11.I ?HE E. i/2 or - NE t'. W. '4 of dS -rfoN Sol T 25014.) 'Q.44 -
DESCRIPTION OF WORK: New X
Size of Lot 8e, X C 2r1-
StoriesDimensions 44 k 2.U
Rooms _ . Baths 2 Basement
(Full, part, none) C1
Heat. System! A . a . Type of RoofingS Ext. Finish'j (DI is)
Use of Bldg.—.a=S1r Nc c co2 G �K. , "Y-77' )
PLOT PLAN a
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.
Addition Remodel Bldg. Zone
Moving
/)'�
!/SgNage System
0�021�.2l/vel. Total Sq Ft
Foundation Const' Gen f -\C- I'
`'
--I--Fire Zone 5
Chimne
E
Const. Pl2QM -n--
(Fr., Conc.,Br.r., etc.)
Valuation o40
ele Fireplace 2
(Kind) �} (Number
Int. Wall Finish �k._ `( WA' .--
No. of Units L Bedrooms
NORTH
RESIDENTIAL — COMMERCIAL
'TAC '1 ---?-414
I her
as shown.
SOUTH
State License No.
4 -192'-W I- 246 KZ
Ind. Ins. Acct. No.
REQUIRED
x
Plumbing Permit
n+ Heating Permit
30.
Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
y cer ify iefor)nattt n sub itt ris correct and there are no other structures located on this property except
or Agent D /Owner
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
416)
Your street addresW will be /e/6 7/7a -Ar -6a -77-z..)
The zone is// ��%%
Sewage Permit Number Issued Building Permit �3 Receipt COG%I�sued
(
DO NOT WRITE BELOW THIS LINE
Remarks
Form 523 SIda. Cede
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