1976, 10-26 Permit App: L5984 Residence Cdhnty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ��
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,/
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 ingr s
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must e
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 '1 c/1 Le 7 `
Name of Owner e r Address 7/ r 7 ts1 - 'hone YE��2/ LINS
Architect Address Phone
Engineer Address Phone
Contractor s rn C' Address J e1 aft. e t� Phone SO *1.1 "4"Legal Description f Property Give complete description fr deedItya�x receipt, etc.) cI y C.
•
DESCRIPTION OF WORK: New "Addition Remodel Moving cBlldg. Zone �— Fire Zo 3
Size of Lot /1 O X /,5"® Sewage System.5-7 7...K'is const. �����
r �r r 0 ,../._ y -1.—
Stories
Q Fr., Con B , etc.)
Stories / Dimensions 2� X J Q T t a I Sq. Ft.t22 .3 Valuation
L .Q. /�
1 Rooms 9- Baths - Basement Alen eFoundation Const. CO on e-i° a Chimney Z1r''it' Fireplace
ull, part, none) (Kind)
? (Number
t/
Heat. Syste °''-A Ll Type of Roofing c Ext. Finish / ' /1 / Int. Wall Finish Cary Mel !!
Use of Bldg. •I S I de an 774741 a No. of Units_Bedrooms
400F /e
r..,t a PLOT PLAN
Draw sketch with dions'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 RESIDENTIAL—COMMERCIAL State License No.
At).-6 g-C 2 s-reel
/ .1� Pi-le) ��vg Ind. Ins. Acct. No.
See AW.1c-kex/ o� ���
/(/:-2 ___-----). b
REQUIRED
liti
Plumbing Permit rrr SG in
en Heating Permit S. ') i`14
ne
N in Sewage Permit PA 1 kr r
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cer}ifyyiinformation submitted is correct and there are no other structures located on this property except
as shown. t!1 -C�-/�...0
Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
:17
DON`T WRI Ei BELOW THIS LINE
Your street address will be AN j'i -%
�� -����Z"®7 i' The zone is
Sewage Permit Number Issued Bui 'ing Permit 54, Receipt -51/2— cued .
Remarks
Form 523 Bldg. Code
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