1976, 06-16 Permit App: L4366 Residence Coanty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT [�i' ej
GENERAL REQUIREMENTS PERMIT FEE41,-/ `�1J
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of auy
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
Name of Owner q/-GL fr! iMi 1,10,14 f7 L.c.efi`O/?, Address //30.c E. - t.e_ Phone 9 .41--k9>
Architect Address Phone
Engineer Address 9U3'Phone
¢
Contractor to[ / 6`-Zane- c•01,-(_ Address 5Dx /7 JPire�titu
Phone �9j0'14-4/0 :2--
Legal
L
Legal Description of Pr=(Give complet description from deed,,t x receipt, etc.) ' •• : ✓ 411/—f'o`p
,ClC.I' E 74-64-4, �x t e o-
ea
DESCRIPTION OF WORK:,yyNew X Addition_ Remodel Moving BIdQ, Zone �r Fire Zone
Size of Lot (): X 13. / d / y 13 J Sewage System +'°t s. onst. �'/1/
L/ / /
/ / / �Fr., Conc., r. etc.)
Stories Dimensions "7 \ � � / �1 ? Total Sq. Ft. ,Ca� Valuation �
Rooms Baths BasementJLdf ,Found io Const. a
Chimney Fireplace
�n (Tull, part, non .',y (Kind) (Number.'
Heat. System \. /'_ Type of Roofin i' •• yU Ext. Finish '—'I'-1/ Int. Wall Finish _ . f`�
Use of Bldg. e t 1Lh--4--ao No. of Units_Bedrooms •
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 sew: :: _sys-
tem and water supply lines. _ /
NORTH ,- RESIDENTIAL-I,OMMERCIAL State License o.
Ind. Ins. Acct. No.
apt— 42e1(7)3 .
REQUIRE
Plumbing Permit
nr Heating Permit
m a
t^ N Sewage Permit
-4 .4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed �.
SOUTH
I hereby certify informatioif)submitte'- s correct and there are no other structures located on this property xcept
as shown. k (/f y r
i::::/ 17- 7< -
er or Agent Date
A LAND USE OR STRUCTURE PER ' IT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9.41 -74,k ,Z DO NOT WRITE BELOW THIS LINE
Your street address will be sc(J . ,3//.-5 ' L4't-&-f-L L) ' The zone is 11-4/P
Sewage Permit Number Issued Building Permit L/3 66 Receipt (1/7 Issued
Remarks '7 ,
61.14 •-____.(kir dqv..._.
Form 523 Bldg. Code
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