1977, 03-15 Permit App: L7477 PoolCanty Spokane. okane. Waslegfon 1t, -.25-41
P
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND LIS CHI 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 t'_,7tac�.
Name of Owner . �.,/� /t.r Olt /f( )1. t 2 .4s -h Address 72.. 1p /6 a12AA44a4 Phon
Architect Address Phone
Engineer Address X Phone
Contractor i�c� t= �^►7 CPcro�L Address cjt�� i% —
99a o G
9.24
Phone SZ-? S- .760_9
Legal Description of Property (Give complete description from deed, tax receipt, etc) PI, L _' /6 6-93 — d/6/
DESCRIPTION OF WORK: New Additi
Size of Lot 96—' X / 93
Stories Dimensions /3 )r.39
Rooms BathsBasement
Fu I, part, nonce
Heat. System Type of Roofing
Use of Bldg. /L/.f)2
on X Remodel Moving Bldg. Zone / Fire4one 3
Sewage System 51 .` Const.
(Fr., Conc., Br„ etc.)
Valuation
Fireplace
(Kind) (Number
Ext.Finish,, Int. Wall Finish
p No. of Units _ Bedrooms
Foundation Const -Cerny
Total
Sq. Ft y41-1-.
Chimney
LOT 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
us
y
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
I hereby certify information submitted is correct and
as shown, m Q .
Owner or Agent
State License No.
0• K.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
-.3//51-7)
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
Your street address will be
Sewage Permit Number
Remarks
6/6 ._,-C's
Issued
Building Perm
The zone is
Receipt 4175, sued
Form 523 Bldg. Code
0
•1.
i
75—
,
kr
)
,'
ti
,0- --1
0
I
SOUTH
I hereby certify information submitted is correct and
as shown, m Q .
Owner or Agent
State License No.
0• K.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
-.3//51-7)
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
Your street address will be
Sewage Permit Number
Remarks
6/6 ._,-C's
Issued
Building Perm
The zone is
Receipt 4175, sued
Form 523 Bldg. Code