1977, 02-23 Permit App: L7116 Residence#n
Citify of Spokane, Was Wasikfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .31.--J -�
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. Constructian mast conform with the
t 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
L,b'IU K. GJh:♦US e 99x" Phone 4857-C-136-()
Phone
Phone
!t%RIO AIS. (y.th'it PkO() G Phone 46)7"°3'3-6
Description of Property (Give complete descriptionifrom deeddnn tax receipt, etc) I'A-I .CEI /h7.5 -4,Q -d 104
L ri 't- ) r 13 look 1 I PAR_
A IZ K Roo . A ci d i 1.1
except. i10&ti 1Z5b 4e t•
•
Name of Owner
• I 1
Architect
Engineer /�
Contractor) / RAi& 00 A►7(.Orx ai "1st
Legal
Address
Address
Address
Address
DESCRIPTION OF WOI C: New X Addition Remodel
Size of Lot Pt X /.2 Se
spit-entizy
Stories I Dimensions .3 7�A,2 5 46 ice
Rooms 5 Baths 1 Basement .fu 1, Foundation Const
Full, part, none
Heat. System k ec.:. 8. 8, Type of Roofing ASphA)r'Pomp Ext. Finish
Use of Bldg. Rps:cIrn7ia( eat 9nAb° dc.cj....
Moving _
Sewage System i.1161. 'SCpTkc Const. Fre,
(Fr., Conc. Br., etc.) .
Total Sq. Ft 9_ f Valuation t ,&l6 -
con -.
h)Z test. piy,
Bldg. Zone / Fire Zone 1
Chimney Fireplace
(Kind) (Number
Int. Wall Finish 41V/wan
No. of Units.. Bedrooms i
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
COMMERCIAL
SOUTH
I hereby certify information submitted is correct
as shown.
m
N
-r
REQUIRED A
Plumbing Permit Ti J r u Mtn i Is
Heating Permit S h' L e C
Sewage Permit Mite/Ire.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
The zone is 5./ R.
Receipt , i Vet- Issued
Tour stlecteadtlress will be
Sewage Permit Number
Remarks I 1
Eas7`
Issued
12 t? fc .4 ii te.
Building Permit)'
Ltir;
Form 523 Bldg. Code
..r
X v- E• L. L. AP:NJ
1,;
t)1
`A
1
•
1
�► . n* t 1 L n
• X C, e,p*
i.
'r`!-+� !3`1
ca r. c ' r s �
41(1,4
G' 1 t
•(:':,!):-Yi` :
.t.,ej i%L 005cAll o.
L o t I , Block 1
Parc. Rd. F,*Rs7 / dc/ ,tio{
escep -t no'.TN j )' fret.
ELEv
s -t- 74219 Sinlo / )e
0
dl:s:,r;f7
104- enl;C:114 t`"i?'
i
£LE.v, to -9
ELEV. .61
60al
S►NT() Avenw