1976, 11-01 Permit App: L6065 RemodelCanty of Spokane. Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920159 9
" APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6
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
D4rformed 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 tate
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 eland
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
//// ,,..��--�// APPLICANT FILL IN BELOW THIS LINE j.� (p 99037
Name of Owner �MKN ..It, thYtiVyCi Address _4 a- , / 7 / , :.!/. "!... Phone 92 6' - 999"5-
Architect
493Architect Address Phone
Engineer Address Phone
Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ' Awl-t'0.e a.3 S.5 - T_ 61 0,
Contractor ati.frir.Qi
A. o 7- 3 13 1-11- 4 Atkfrutu_blet,gx, azu
DESCRIPTION OF WORK: New Addition Remodel X
Size of Lot /Opx/49
Stories _L_ Dimensions / 2 X /0 T ./C2M24'Lt.e.e_
Rooms 1_ Baths / fi 1, part, none A Basement //A�// qq Foundation Const tip Lf
• u1
Heat. System �o./-- Type� %9f Roofing /
Use of Bldg. 'vtt a r/r�R.l,fi t- .IVW N•L.G-2. .•
A-�-a)
Moving Bldg. Zone �_ Fireeone .�
Sewage System NA-
Const���/M-<..C'
., etc.)
Total Sq. Ft. 1 SO Valuation a0 4 d -
1Chimney AIA Fireplace N'4
ll Find) ,A�\\ (NuSnb
xt Finish yy�L Int Wall Finish ed '/N
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
ESIDENT L COMMERCIAL
I hereb
as shown.
SOU TH
submitted is correct and there are no other structures located on this property except
State License No.
(�
40-14-1-14"
Ind.
.0- tt-?--
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owne or Agent 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 UNE
Your street address will be
Sewage Permit Number Issued Building Perm
Remarks
, 29 7 2p P,aQ:Gr c .tc.-
/_/ �(la,
The zone 1s .�i.:.a-vx_fe
606 S Receipt .%' ra Issued
Form 523 Bldg. Code