1976, 05-28 Permit App: L4067 Pool County of Spokane, Wastoingfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT I)
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 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 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.
APPLICANT FILL IN BELOW THIS LIN-1 , �7e /
Name of Owner_ h(,1✓ a 1-u- f==�� Address / 01 6 _.�.� — ( Phone • 4- — 7.1-tr.)
Architect Address `----- 1',.�a.�" �-G" Phone
Engineer ) Address 7 C' ' Phone
Contractor 44—L.,i (,f "� Address (� Phone _C/, —
Legal Description of Pr y (Give compute descri tion from deed, tax receipt, etc.} , _ ' _ / 73 f
it ?-1 -- /, X,t - 2 — ( .— '7 _ „-C . ...7_ gra- i-,�
b _lig 6;- 'Ai' i C i
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire n 3
Size of Lot Ia ,S I -6 _I-'e Sewage System yonst.
r
•
(Fr., nc., r.� c.)
Stories Dimensions3 Total Sq. Ft.` ''' -' ValuationY (A
Rooms Baths Basement
ae none) Foundation Const. Chimney Fireplace
(Full,
P (Kind) (Number
Heat. Sy � �'—��J Type of Roofing .�^ Ext. Finish Int. Wall Finish
/q Use of B .J A_"Ly� c_ �z'e C yfn'��� /�a ei-� ` ' No. of Units_Bedrooms
`,-. Ck 2 - - 11 PLO PLAN
( Draw sketch with dimensions showing: (1) property lines; (2) street orcations; (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.
`, ORTH : , RESIDENTIAL— COMMERCIAL State License No.
Ind. Ins. Acct. No.
„.------- .5ei ` 1/1--""tA--)/
)_' 1 _,a REQUIRED
Plumbing Permit
1 ril/ r---
___ en Heating Permit
en
D./, " 7� 2-1066 x. Sewage Permit
k6__e_A_A-et4t.2.•-at":i,--- Plans Received
C '� O Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
— SOUTHIll
I ereby tify infor tior, s correc , ere are no other structures located on thiss property except
7\ '
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST : ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRI E BELOW THIS LINE
Tour street address will beeri /(I 3 76 '
The zone is e5---e
Sewage Permit Number Issued Building/Permit !fo(,7 Receipt et 7) ssued
Remarks ""11 f
Form 523 Bldg. Code