1976, 08-14 Permit App: L5152 MH//i
• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT // 00
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.
14OVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
1ighway, 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 LIN
Name of Owner . 5.. - w. .L Address
Architect Address q7;94 Phone
Engineer '- 1 Address Phone
Contractor Address Phone
Legal �fD scription of Property (Givp complete description _from deed, tax receipt etc ) -a 1' 3 ../5%Ci c /< /
j/• a75S
K/✓t.CLlic,, e/uObrlr Kot -S c,�1�rv/s/o,✓_ �s-_n>Z 1Ln 4 / - n 3.0.31-
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R.D. Phone 9aV r29.V
•
DFeCRIPTION OF WORK: New V Addition
size of Lot /o/.71/X I/O X
Sinjies Dimensions
Rooms Baths / Basement -
(Full. part, none
Heat. System Mae 9 Type of Roofing
User of Bldg. %%%,-",-/t i', _ ne/
/aX 5-6
Foun
Remodel Moving Bldg. Zone / Fire one` 3 -
Sewage System Sir Const. t"11,�J t`�
IFr.. CoNc., Br., etc.)
�/ 0 0
Total Sq Ft 67,..? Valuation '7`) �r''n 2-2
dation 320 Gig 5 Chimney Fireplace
(Kind) (Number
Ext. Finish/Int Wall Finish
a . �! i.+v-di 1 No of Units _ Bedrooms
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.
NORTH
RESIDENTIAL - COMMERCIAL
A -c -/{-e2
as show
SOUTH
certify infor t 'on s m tted is correct and there
rn
-I
y
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Fermi
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
8- —7
Date
CONSTRUCTION COMMENCES.
• Tour street address will be
Sewage Permit Number
Remarks
re. 7776-6,-7-fri 71/..;‘,0-
Issued Building Permit
e zone is X9l >2Z96-444.
l75a2 Receipt a)) I Issued
Form 523 Bldo. Code
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