1977, 03-04 Permit App: L7288 ResidenceCloy of Spokane, Wash%gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 9�
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 ;1
kind or alter any building or structure already erected, or to change a land use. Construction most 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 -RACK 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 yelle.44A%
/tg92
Name of Owner / .' Address r� /,30 // h/O4irMO i Phone 928-x3 6 7
Architect Address Phone
Engineer Address Phone
Contractor u�J,(,(_- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc •r/j /X Oy Q---�'0-4)43-5
S• //at, 'a- A/./.I 7.5 2 o 6l� ,La T..2 sit• SO /
,PA -a AAUPq /Qt
DESCRIPTION OF WORK: New .< Addition Remodel
Size of Lot 76 x //-*• ,5"--
StoriesS/FDimensions &-SX3/o/
Rooms C Baths / Basement Foundation Const
(Full, part, none)
Heat. Systeme4 /...fin �Ty_pe of Roofing e,�WLp.-
Ilse of Bldg. %A _.4t- iv -c2.
4.07.3 ai-K I
Moving' Bldg. Zoge - / Fir�one
Sewage System i.."4.0
Const.?
(Fr., Conc., Br., etc.)
Valuation <30, 0
Chimney N.4 Fireplace NA
(Kind) A-) (Number
nt
Int Wall Finish Nom/
No of Units _ Bedrooms
ieY1Gc fit
Ext Finish
Total Sq Ft 94 D
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.
H
NORTHESIDENTI -COMMERCIAL
SPOKANE COUNTY PLANNING COMMISSIOT
APPRO1EDAS NOTED
DATE:
BY:
I hereby
SOUTH
State License No.
6 K -ON-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
cgrti,fy inff subpitted is correct and there are no other structures located on this property except
i��,-4- 77
Own r Agent / Date
A LAND USE OR STRUCTURE PEW' MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
yytA40 s DO NOT WRITE BELOW THIS LINE
:reet address will be /!, 76,,o? Vv(,
Pg umber ssued
Rema
Building Permit
The zone isaq-U/ itti-rilselak.
72fA Receipt 4/c77/-6 Issued
Form.523 elda. Code _ r^�
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