1976, 10-19 Permit App: L5948 Residence APPROVED AS NOTED "'
Spokane County Bldg. Code Dept. )V 6 e 1 •
Date A1' ; l - ounty of Spokane, Washington
by�..". � .,.:,_.,,-..;.___.i DES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITco
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 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
w 'ch are enf' ceable through civi action. County Officials can not bring action to enforce covenants or dedications.
492/0 �& „,,,,,A ei PPLICANT FILL IN BELOW THIS i` u..E 9'9 �(
��/INName of Ow i /a. �. _-- e:_ ' •.ress • . / Phone 22.74,-62L6.,
ArchitectAddress Phone
Engineer -4-`47.64.-1/4...)_ Address Phone / r� /l
Contractor �`v` V4 . Address /7 Phone t l3
�, `` z� /5r,S-fid - X73
�Lega escri ion of Property (Give compl e • ion fro de�d,`tax,.receipt, eto) (24- -ti—
eI-q`s-3d, � I -3240-d/itp. — Uz , t-.
DESCRIPTION OF WORK: New Addition Remodel Moving BI . Zone / Fire Z ie l7.
Size of Lot fS! /t/,-9..s-
/ Sewage Syste oust.
�Fr., C �Brr.., etc.
Stories_ L_Dimensionn0X� ,(( �A- O t � 'r`? 47 exX Total Sq. Ft./4?D Valuation —Rooms .'S Bathe.4._ .pundation Const.. Chimne in File lace
� (Number
>tl"�pt
ull, part, n ,/
Heat. Syster - , Type Roofing so.,.411 Ext. inish 7 7/! Int. Wall Finish
Use of Bldg. _�,_, �.
.7, . , 47/0 . i ,• __ �• 0 • / / 0 No. of Units_Bedr s 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.
,___ "�„,
NORTH PRESIDENTIAL-COMMERCIAL State License No.
.22 -
-"- -20)&
Ind. Ins. Acct. No.
\ - /C) --2-2- '76,
REQUIRED
Plumbing Permit �`7• A
�0 �� ` in Heating Permit ' ��I/�. ' _ 'f 4,
N ' / �`� ` �4 / u, Sewage Permit
,2(0• -r
Plans Received
\ Plans Checked
7
Plans Returned
i
)J Plans Picked Up
Plans Mailed
SOU TH ?-.S
I hereby certify info tion submitted is correct and there are no other structures located n this property except
as shown. �� 7� CO /7 6
Owner or Agent Date
1� A;LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
T9'IS NOT A PERMIT.
�; DO NOT WRITE7 BELOW THIS LINE
-1
\ \ Your street address will be /XS-X5- ] 4, 0 The zone is —_ % - -.-
Sewage Permit Number Issued Bu ' ing Permit,,, -' _ "Receipt 3g16 Issued
ov
Remarks
Ikftir.) i --..
Form 523 Bldg. Code