1976, 05-04 Permit App: L3645 ResidenceAnty of Spokane, WasoRgilion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT D
' lv' IiI N E R A L REQUIREMENTS PERMIT FEE _________ _________________
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect abuilding or st':cture•of any
kind or alter any building or structure already erected, or to change a land use. Construction must coofor rNiith 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 onwater 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 thestructure abuts a State Highway, clearance most 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner / 11. —Address �2
3 QT d y /3 Phone ,7% -pfd r
Architect Address r+o ✓fir .-I"' /ro Phone
Engineer Address dl_' 3F 3,.r Phone
Contractor -S.4 1 Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
ZaT /Y f2/oa,.0 / /Po �CAI b '00/ro,S -3-i -
DESCRIPTION OF WORK: New � Addition Remodel Moving Bldg. Zone Fire Zone _�,
Size of Lot (9 N V ?� s Sewage System.5447 t- Purist YF 9,F , P
l t / En %R - r., Conc., Br., etc.)
Stories s/�' Dimensions %G )(alr Total Sq. Ft. /937 Valuation 41 �Do
Rooms BathsBasement F,x // Foundation Const.. (rp A Te rRe Chimney A33 ' ok Fireplace -Z
Fu I, part, nonei (Kind) (Number
Heat. System FF %/. Type of Roofing d h+r/!. Ext. Finish kio0 .Int. Wall Finish •`j�� ✓
Use of Bldg. v- /V &Lfi- i7 Q/l.9Bn G No. of Units 1 Bedrooms 3
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. as
NORTH RESIDENTIAL COMMERCIAL State License No.
2�. -d/- 9 4«
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit ��•
w Heating Permit Gyfi'AiY,S
rn N Sewage Permit ez .>zA.l'6 V
N y
Plans Received
Plans Checked
Plans Returned
I Plans Picked Up
Plans Mailed
SOUTH
r
'A, I hereby�cee tify information submitted is correct and there are no other structures located on thi5aproperty except
o a shown. / / _ / / _
Owner or Agent Date
A LAN USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
n n
Your street address will be �.� 6 & ",-((: &I ,4ka fi f;f a The zone is �^f-��!'� !,,�•t+l*'`�l�Ll^
Sewage Permit Number Issued Building Permltn/Receipt7r
Iasued
[,Ca,"UT—
Remarks
-
Form 523 Bldg. Code