1976, 11-09 Permit App: L6165 MHalloy of Spokane, Waslgfon
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 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 nforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE fJ.Le,i--,(p.G1k <j qpd 6
Name of Owner M2 JL J. l ,C' J— Address_�A� -a Phone -76 - 67 7•St
Architect Address
Engineer ) Address
Contractor �eC. 4,4/142_ Address
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Phone
Phone
Phone
k O T F 13 Lt(-d-vt-to-aP •74t -Lae.
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot g D X / /S
Stories Dimensions
Rooms Baths /
(Full, part, none)
Heat. System .� Type of Roofing �'( _�-� p Ext. Finish
Use of Bldg. / , cJ }..et -12l p a-4 4,o.d.Ll
Moving Bldg. Zone —1 Fire Zone
Sewage System
onst. ���
Fr., Conc., Br., etc.) Q�
1�Xlol To al Sq. Ft F9� Valuation / O OD
Basement %V ONE Foundation Const �-��� p 6�? Chimney /1/A FirepacI A
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
(Kind) De (N mber
Int. Wall Finish .4 -
No. of Units _ Bedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
ORTH / RESIDENTI4L — COMMERCIAL
SOUTH
I hereby ce informatiobmityed is correct
as shown,
Owner or Agent
e62 -rt -
and there are
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
//— 9— 9
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /y368 fThe zone is P e1 24%d fL
Sewage Permit Numberr
Issued Building Permit (4,/ 6 ,S Receipt ygSIssued
Remarks
Form 523 Bldg. Code