1977, 01-06 Permit App: L7012 Office Buildingditty Spokane, S okane, Wash ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1'3 q 4'-
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.
/3"...a14.4,(.4,, APPLICANT FILL IN BELOW THIS LINE ra„ ,,, �l y � ag
41A1-/ 7/L1
Name of Owne
Architect
Engineer
Contractor -J"/ . • (
Address - - - - Phone
Address / l / -1 , r .� .� Phone 9' - ' -
Address n Phone
Address $'L 3
4.14 Phone "`E" g4
Legal Description o Property (Give complete description from deed, tax receipt, etc )
PART/t'e1J TRACT/5-
IA,/
RACT/SSAL/ t/) P d 'LAST'S PAGE /'44 / Ai S PA/V:44 /V i5 Coil Ai r Y A. 11 G 5 . ,g PRI i`%.JAPey
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot .32 X /3,
;�
Stories Dimensions 3.2 7( /0 L) t 0 X dleD g
Rooms /eBaths =1 Basement .7 .t.t.e1. Foundation Const
(Full, art, none
A5-v-ESsort5 "7,4 ,7 d(. As
'J y3 -=c2/7
P,ER Ph/4 7= TM,ER 2F /?EC1? DEG,
Moving Bldg. Zone �_ Fire one fir -
Sewage System ,?el PiC G/ Iy�oust.
l Fr., Conc.,
Total Sq. Ft /0'0 049 Valuation / �SDCJd
!.� Chimney /VA Fireplace( ,V4
(Kind) ��, Numbe
�ii)1r
Int. Wall Finish ,4
No. of Units _ Bedrooms
.- Type pf oofing i3 /G'JL Ext. Finish 13..a4. i
1.CL, 13.441
Heat. System
Use of Bldg.
2�
"41" 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.
RESIDENTIAL --(COMMERCIAL
PLOT PLAN
m
to
NORTH
A;
De
PRO Po sab
%3u/LDI
7.
SOUTH
321.F 4` .'
State License No.
tC o Al F/,C
Ind. Ins. Acct. No.
3/-2 / 7 7
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed oq �/
— / — 7 7 or iag.ptiwt-i -�a
/x/.
I hereb ertify information submitted is correct and there are no other structures located on this property except
e.;
as shown.
dz( — 7 7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
Azu '741,442 DO NOT WRITE BELOW THIS LINE 3/1""'57791
t address will be
Remar
A wAS 4 NIL7
A n T/MZ OF ZONE C/#ANGE
The zone is
Receipt2Issu d
A/APLA A/ /L/ JAI 7- CO Al Ai .55 /Q_ALeirMet
Form 523 Bldg. Code