1976, 05-04 Permit App: L3648 ResidenceAnty of Spokane, Was>on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ' U
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,-<�
t r6 E N E R A L REQUIREMENTS PERMIT FEE ...... zA---- ___-------
,.
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 most be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of. County Roads, permission most 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 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 most 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 , 04 /,G I/ Address isPhone 9;Z2-9S�S
Architect Address a ✓
/ La/r e. Phone
Engineer Address A.iF 3.r Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
.4,n T /U a �RR P/n S
Cie /
--
DESCRIPTION OF WORK: New '"' Addition Remodel Moving Bldg. Zone Fire Zone SL
Size of Lot ay 7 /.G D Sewage System Const. �iP.Pm p
Fr., Conc., Br., etc.)
Stories Dimensions 4 /. y Total Sq. Ft.-?-? 2Valuation y9 9Go
Rooms Baths 3 Basement Fr// Foundation Const. el /'In iP n-fP Chimney "mA Fireplace R
Full, part, nonce (Kind) (Number
Heat. System E, ` A Type of Rooting 'r /i �k e Ext. Finish 1i n a .Int. Wall Finish �,✓ / 4;1 /1/
Use of Bldg. w.r f�� �/i .OR/7(.- C- No. of Units L Bedrooms y
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-
rem end mgr« enr.nly l;�ea
f
N
H
SOUTH
I hereby certi
;as simn.
MMERCIAL State License No.
o/ - '/3
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit .-1 7 • ,7_,�`'�a
OR Heating Permit 1'R.YG
N Sewage Permit 0RWA�Y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this propex:t'y 'afxcept
ner or Agent oL Date
A LAND USE STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
A�, 2tp DO NOT WRITE BELOW THIS LINE / Q
Your street address will be x/20 ` /H The zone is Sewage Permit Permit Number Issued Building Permit ceipt�� Issued
Remarks
Form 523 Bldg. Coda
a�..r�vvuw„ u�v.. �.rw^.+NSMN'aWY�+'.�•.vuilhlC � iS'pl`��G:NR.9il.4lR,.Y1�i.f3RLUS'. N'Y� u .��..r...�.. .�ve,..���tiem�-'. �..J
'4.