1977, 02-15 Permit App: L6974 Residence• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT #4,1?"---
GENERAL
4,iGENERAL 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 Count3tapuilding 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 OftEce.'.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47235.
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.
La nAPPLICANT FILL IN BELOW THIS LINE
.�i nOh fio �1J \ ' Address N � 3225 I-- Phone Q a�O 76 Z7
Name of Owner
Architect Address Phone
Engineer /y, Address Phone
t
Contractor &lee�cT1'.� OCYbft)H>'4tddress S 1 C Phone
Legal Description of Property (Givej2omplete description from dead, tax receipt etc.(
LOT in 1ib1 C�CI_K 3 bULL1 1(+4/J LUt4'-I P\-DD1TtOt
.2 3 -QS -j
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot I 1 / y � j3' /�
Stories >_>Di men hips t, 21 4 a�SLI I — 1 `Io 11,,I,
Rooms S� Baths rt Basement F14LL. Foundation Const (}7)PnR�T�
nn (Full, part, none` P
Heat. System 13r' Type Qf Roofing
Use of Bldg. yak_ Cat
Moving Bldg. Zone Fire Zone
Sewage System 7C" 1 Const. _r A
Fr., Conc., Br , e
Total Sq Ft 110 1 1 Valuation
Chimne fireplace
(KindlNumbeer
t�
Ext Finish 1 1—)1 Int Wall Finish Q_)1 1.A.
IN
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units Bedrooms
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESID ENTIAL — COMMERCIAL
SOU 14
I hereby cH€ormation ubmrted
as shown.
State License No.
c0 -0) n- aq 1 bk
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Pcksr f 1s 1 r7
Heating Permit 1 •\
Sewage Permit WESF UAL LSE
A m
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
isi correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
ire (9 12titg��
Your street address will be . /'y 09 71(2,141 -6.: -LA- Kms` The zone Ss.l,�ri/L.:-L-/e.�-
Sewage Permit Number Issued Building Permit �rr % receipt 525-44,93 Issued
Remarks
Form 523 Bido. Code
,._
&,RDoM G001>tittPal
LAT 10 stet< 3
501-Lisow V4Av Ato•
22'
loo'
�'
le
l2'
Qd
46
s
40'
900
r
5'
Mt. to
22,
rt 4a4 se FT
20.5'
1
4'
100°
22'4.5'
1121 *w Fr
44'
l
I3
21'
13d
12'
�EL)-CZ, RD %�