1976, 03-26 Permit App: L3107 ResidenceWashington
County of Spokane, Wc�s g oo
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 q/I
Name of Owner - " ! r • f v �..CAddress 'Pfiw�e 929-y96 Z
Architect Address Phone
Engineer Address Phone
Contractor C. n... v Address �j Phone
An...
Description of Property (Give complete description from 9eed tax receipt etc ) / 8 S"4/ - D /n /
n l /i&. //7p, b 7 of /1/ / sn ' or __if ¢, JS//r
14„%rA;nx-5„✓ s 41r/.
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DESCRIPTION OF WORK: ew Addition Remodel MovingBldg. Zon 4” Fire Zone
Size of Lot %CY / seSewage System CConst.
FfC,
q (Fr., Conc Br., etc.)
Total Sq Ft /OOB Valuation4�2 0a..)-eChimney
7GY� o"
Chimney /VUf✓� Fireplace
ry�on r (Kind) (Number
H System t/v,/ � �A:Op! of Roofing (ass v (. Ext Finish S..-�� �i Int Wall Finish d.t �/ JL/✓}//
Use of Bldg. SM cm. &t L.J/ c..4_aq_r No of Units _Bedrooms "I. -
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
ed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
d water supply lines.
NORTH RESIDENTIA -COMMERCIAL
Ali
Stoles Dimensions a-4- X 4 Z
He
Ro s ,] Baths Full, Basement one
i /
Foundation Const i'o Np e_e{'
I hereby cer
as shown. y
ormat ion
State License Nq.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
it ed 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 1S HOT A PERMIT.
a^A -4/ A AC -47DO NOT WRITE BELOW THIS LINE
Tour street address will be d .3/. L The zone is •
Sewage Permit Number Issued Building Perm ti o5/07 Receipt° 7- Issued
Remarks
- /7 2 2- -7e..„-.e_e_.a
Form 523 Bldg. Code