1976, 09-23 Permit App: L5547 Residence Canty of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM / `' —
GENERAL REQUIREMENTS PERMIT FEEZG'
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of all/
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 NE
fv�.reJ C G
Name of Owner I �t -ti`l'►`' ��c+ Address 6 Phone 9 y 0 Z, 3
Architect Address Phone
Engineer / Address Phone
Contract �� Address GL-J--K-Phone
�Leegal Description 9f P/rioppe/�Jrty/(�Give�complete d/e//_scripttis�onn from deed, to receipt, etc.)/y/44_4
�2/ e'lz-�C.-
e, t
DESCRIPTION QF WORK: New /..-- -- Addition Remodel MovingBldg. Zqne / Fire ne 3
Size of Lot ✓<_.t Sewage System ,61,-7---,. FFrnsC , r., etc.) Q
Stories tad mensions Id X t� 0'Ct- ' - Total Sq. Ft. , U Valuation �'
Rooms Baths 3 Basement Foundation C. st. eChimney Fireplace ALJ
(Full, part, non Vv (Kind) (Number
Heat. System /! q Type of Roofing -I/ ' Ext. Finish .� Int. Wall Finish
Use of Bldg. F d ' 7./21-.L1 - /
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) ion of wage sys-
tem and water supply lines.
-14134-"
1413 t
RESIDENTIAL-COMMERCIAL
ALIgker02111d11
Praak 6?-
\ 4 ,.,_ .7 A
/ j1 1 REQUIRED
\,,,,,,,,' �. � f�
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I�.lfl1 �`► v Plumbing Permit !1Vy ry _� ,
t llll Heating Permit �./ ��
i sem,
J Sewage Permit
)1,11 Plans Received
Plans Checked
Plans Returned
'�� y r -6 ' Plans Picked Up
/ '. , s,O Plans Mailed
8: .....7.
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
CV4 -34
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,, ;); ,,L( ,, DO NOT W476RITE BELOW THIS LINE
Your street address will be Q1 cf�� The zone is
Sewage Permit Number Issued Bung Permit c .55`/r/ Receipt.32--7# slued
Remarks
Form 523 Bldq. Code