1977, 02-15 Permit App: L6976 Residence•\ •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 4,t f
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 mast.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 Of£icit,__ _
SEWAGE SYSTE'S 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.
v� \
APPLICANT FILL IN BELOW THIS LINE �n /'1 n'
Name of Owner Ob m t~F.� O '`� ` Address A3 2322 �r-LJK. Phone Ci Q1S--rep ZZ
Architect Address Phone
Engineer M Address Phone
Contractor -5r'S[ "� Address Phone
Legal Description of Propel (Give complete description from deed. tax re ipt et )
q, b C- 5 5ULL- dA $ f.3fh1 ADD ITIUv
a -3 -P -s -yr'
23-2S-4 44
DESCRIPTION OF WRRK: New Addition Remodel
Size of Lot "I Q Y n
Stories �Dimens opus I +€Z U-8 L4 1 to 1
Rooms Qz Baths 1 r2 Basement FLU; Foundation Const. IS�Y�•if-1,L•,
(I1, part, none)
Heat. System Type of Roofi n g. Ext F h T i (
Use of Bldg. LeA-0/1 t a AO
Moving Bldg. Zone _/ FirereZon
Sewage System 5'e Pricconst.t-
/- Fr.. Concrr )
(FE
Sq Ft % t 1 Valuation
.I�{t Chimney ireplace
OT 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.
(KinSNumber
Int Wall Finish 'D 12-4LO ALL
No of Units _ Bedrooms 3
NORTH
RESIDENTIAL - COMMERCIAL
55,f2
4`nlG-14 ECD
State License No.
Go -or- me- a+I tai
Ind. Ina. Acct. No.
REQUIRED ^,l
Plumbing Permit Pae e'L S i
Sewage Permit W FST- 'i 1'4 L1E9
rrr Heating Permit
D
-I
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certi777ggq-y ,n ormation subm t d is ell -and there are no other structures located on this property except
as shown.
C 7L12CQ l.� iv __ - 7 7
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
141�10_ DO NOT WRITE BELOW THIS LINE
uilding Permit
Your street address will be J AV/ 7
Sewage tertft- Number Issued
Remarks ‘-1C-
The zone is /-tits• /, JAL -
6 Receipt 97E3
L -
6Receipt9%E3 Issnea.•
—I —
Form 523 Bldg. Code
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