1976, 09-02 Permit App: L5319 Residencei •
County of Spokane, Washington
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 Mork 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 , 990/6
Name of Owner Address - _ • ,1 . _ _ �i Phone 1.4/Jet-6,- i76,34
Architect
Engineer yy Address Phone
Contractor _ C9/f rovct_-Address // Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) PA2A-rOP, /1 7.SS 3 - o -5-/a
Address Phone
D
Wq3� t ;q:i-O o1 TRACT i/ G'RFENAI'RFt
DESCRIPTION OF WORK: New .X Addition Remodel Moving BId7. Zone / Fire one
Q 3
Size of Lot "T�
X.71, /
9J'
/,PR. 1Y 57 PLAT -A iii 5 2 7 - 2S - 46
Stories Diniensions 2 C0 X r -7 24
Rooms (- Baths /1
.2 Basement NONE
Full. part, none)
Heat. System Type of fing
Use of Bldg. .11 4.[.r',fOnu'G
Sewage System OL�CJ
Const. �t-Ct Li•C'L-
(Fr., Conc., Br., etc.)
Xa!Q Total Sq Ft // Ai Valuation ,30/ODD
Foundation Const , Chimney Fireplace 1
(Kind) A/ (Number
Ext[JFinish T -//I Int Wall Finish �/ ika
0_!X No of Units— Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and wateijjsupply lines.
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-
RESIDENTIl�L - COMMERCIAL
SOUTH
I hereby certify information submitted is correct
as shown.
tG 2 7
Owner or Agent
State License No.
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
• Sewage Permit
N '
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except ,Pa'
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
E B THIS LINE
OT WRI
Your street address will be ('.. / 7./,Q
Sewage Permit Number Issued
Remarks OK 131 £OL -f7/-
/7
The zone is
Buil 'ing'ermit.Receipti 1/% Issued
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LEGAL DESCRIPT1ot4
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orAy
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+Cala,e.nee E• SpMpac.i En5ineers,tnc
N•9o9 Arocnne. Road
Wn.sk in .54 -on
9tCn- 1 jZ2 .992.00c