1976, 08-31 Permit App: L5266 Residence41410
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3
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. Constuction 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.
'p APPLICANT FILL IN BELOW THIS LINE Q�
Owner J7P Il AL'ILPf=.RS ,�'N {� Address PO.i�n)t /H.3^�7p�y. 'h
Address /'�'1 -1 c "'r
Name of 0
Architect Phone
Engineer Address Phone
Contractor SH/t't.a AS' Ii SC V E Address Phone
Phone %a6`/SSS
Legal Descri tion of Property (Give com le_te description from deed, tax receipt etc 1
s 3 ;
PmRCEL t j. 7 Z -/a - /9
DESCRIPTION OF WORK: New Addition Remodel
Size of Lot/06 )c 1 a
Stories J—t Dimensio�n�s. 6,6 X NJ
Rooms Baths
(Ful sempart, none) . Foundation Const
Heat. System rig. FISC- Type of Rootin S lAKf=---S//
Use of Bldg. RE: j DE/IJG F_ G 41
Moving Bldg. Zone Fire Zone A
Sewage System s Const. rc. AM •.)
C,qq, Sag 2�a Con Conc., Br., etc.)
Total Sq Ft / Valuation 3.JS'O
Chimney m4bNR/Fi replace
(Kind) '(Number
Int Wall Finish iS SIIEFT.POCJi
LaeNo of Units .. Bedrooms `3
Ext Finish TI -1I
1ILatAtt itatt 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
I hereb
as shown.
State License No.
aa3-o/ RE -14 -Bit "4-2
Ind. Ina. Acct. No.
96 Lc
REQUIRED
7n4 #H
Plumbing Permit ` 7
rw Heating Permit K T 1
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
.ify informatlf s}tgmit Ledfs correct and there are no other structures located on this property except
Owner or Agent
Dote
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
?/// ,1 , .1214:t4
Issued
loft
Building Perm
The zone is tit C -e c it"t,i, t`�:
Receipt j r- 3 Issued
Remarks
Form 523 Bldg. Coda
Y -
/
1
)
I hereb
as shown.
State License No.
aa3-o/ RE -14 -Bit "4-2
Ind. Ina. Acct. No.
96 Lc
REQUIRED
7n4 #H
Plumbing Permit ` 7
rw Heating Permit K T 1
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
.ify informatlf s}tgmit Ledfs correct and there are no other structures located on this property except
Owner or Agent
Dote
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
?/// ,1 , .1214:t4
Issued
loft
Building Perm
The zone is tit C -e c it"t,i, t`�:
Receipt j r- 3 Issued
Remarks
Form 523 Bldg. Coda