1976, 11-19 Permit App: L6268 Fire Damage RepairCanty of Spokane. Was gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
17 0-0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .t ,
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 mast 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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE QOLa,ue 99�p�
Name of Owner .� ./ i • , .�.�, Address e1 /•i - Phone
Architect Address Phone
Engineer " Address Phone
Contractor i41-1/%19-*2I4.1A0 Address -Pt. 72 7j'�¢CL 5 9 2 a Phone ��` 01
Legal Description of Pro
perty (Give complete description from deed, tax receipt, etc) .a%'P-i-� d67-3-'``3 -'//4
8ECz. Al w C--.0 R. c9L.ff 4
� N
/.Z4,,e/ Faom A/ u/
TH, 5, 7-0 .5 Lu Co R. 711, Ste. .ika 5i_5/ Ak .2.21 -rt./ ky TDill/4Y
7-/1. A/ t4 5.&. /2D, g' 7o Po13 ICT
DESCRIPTION OF WORK: New Addition
Size of Lot / ir0 X l F?n6,)
.4V tlet.d.a444-0244Z
Stories �L—D'mens o s y/
Rooms s Basement
Fu I, part, no
Tye of Rooting
Heat. System
Use of Bldg.
Remodel X Moving Bldg. Zone /
Sewage SystemConst. -4a4i14-e
(Fr., Conc.,Br., etc.100
9F-�.� 4e. /.'9 X ..LD Total Sq Ft -2 ti 0 Valuation <370 O U —
Foundation Const. F`/.Gd7,[ Chimney !(Kind) Fireplace Number
xt. Finish f'�{1,(4e.Ct. Int. Wall Finish
-.
O-OiyLC/� I No. of Units _Bedrooms
Fire.Zone
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
ESIDENTIA COMMERCIAL
1‘.3 >F? 4-, __) / (4.1,,,_i�%,(Li _9 f,'';:t `f .i -( 1-U!J.E
1,,;! it ."I
at'..,, eL,? ,,-' t --
SOUTH
I here 'cert
as shown. fy information submit d is correct
e J
Ow 13 or Agent
State License No.
(:)/ :'v Fi.c F
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
//-/9- 7(.
Date
A LAND I E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be 7 g o /
Sewage Permit Number
Remarks
Issued Building rmi
The zone is (.l,��&--'4
• 62� Receipt T`'7' 7—issued
1070
4/673 /0 7..6.
Form 523 Bldg. Code