1976, 09-17 Permit App: L5456 Residence• •
County 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 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
Address
l } l 1 1 1(s st
Name of Owner
Architect
Engineer
Contractor
Legal Description of PropErt (Givp complete description frpm deed, tax rec,�wt, etc)
, /) 1 c t K 3 I -) i^ C+ a cad vn- o o e 1= 5 Za ''es
a 1'
Phone LGf 7C
Address Phone
Address Phone
Address 5 ^^ - Phone > u
1 r ..C/ / —/ 'C) 3
DESCRIPTION OF WORK: New / ` Addition
1 "-V -E 7 % ; 1 •j.c% lam%
Dimensions ill' 'y J6 l'SX 3 j e x 1 _7
C c .q
Ext. Figish
i. l/id, A'z_.. !.: J )
Size of Lot
Stories 4
Rooms Baths Basemente /1 Foundation Const
(Full, part, non
Heat. System CT Fk. A Type of Roofing 51t 4c% -e
Use of Bldg. h1f'S// rK.Ttd/ {by/6-uv-4 fG
Remodel
Moving Bldg. Zone Fire'e +�
5,C- onst.
(Fr Conc Br etc
Sewage System
Ft 71Valuation S
Chimney' < < 11"` Fireplace
(Kind)s (Number
Int. Wall Finish //I la l7 //
No. of Units 1 Bedrooms 111-3
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.
m
NORTH
RESIDENTIAL — COMMERCIAL
_5,-c zZ`a c t- c/ d
SOUTH
I hereby rtify information,7submi
as shown.
State License No.
;1,9-3-- C C 73
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit T i
Heating Permit /�'t V
Sewage Permit 11t1G
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
7 //1
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFO
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be• -`5 The zone in r � , / ace
sewage Permit Number Issued Building Permit/5/t
Remarks
/ .F
Receipt 3 / Issued
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