1976, 09-07 Permit App: L5359 Residencer
1100 ofr,t) t,16
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERM!
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction mast
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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 HIGUWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back.,mpd 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 Gnat 6ixd. Address E. 11305 S pnag ue Phone 9 2 4- 6 9 2 2
Architect
Address Phone
Engineer Address Phone
Contractor W o o .e 6 C o nA,•h U C, -,r onAddress Box 1 7 3 U e,t a d Q .Q a Phone 924-4662
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 5, 13.2ocfa. 1 Pondna East
Pance.2 0 33543-0105
structure of any
conform with the
DESCRIPTION OF WORK: New X Addition
Size of Lot 1 0 0 X 1 6 6
Remodel
Moving Bldg. Zone Fire Zone
Sewage System S epti C const. FnamP
(Fr., Conc., Br., etc.)
Stories 1 Dimensions 65 X SO Total Sq. Ft 2 82 0 Valuation 6 7, 000
Rooms S Baths 2% BasementFoundation Const �Concnete Chimney Maw OUJ6ifeplace 2
(Full, part, none S(Kind) (Number
Heat. System F. A. E. Type offing flan d-Spt.c,t"Ext. FinishW0nd-MaAnvihylnt. Wall Finish Vii ywalI
Use of Bldg. Re4,t.den--i,a.e Ai..Lzp C.Ct1111.C•Gff4 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 sewage sys-
tem and water supply lines.
4/1
NORTH
RCESIDENTIA4 COMMERCIAL
SEE ATTACHED
State License No.
223-01-19665
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit P n e c-bs i o n
rn Heating Permit Pete ' S C o ntn .
Sewage Permit W e4 t V a U P e y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I he bp certify itrFormati.n muimitted is ,Corr- and there are no other structures located on this property except
as shown. I
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELQW THIS LINE
Tour street address will be --4)P 3' The zone isa t c�i!-G
di --,
Sewage Permit Number Issued Buildinl Permito S_= / Receipt lJ Issued
Remarks
4,
90.
.tor I?L/
POWORA FAsr
I 2
45'
29'
/0,1
7
9'
2'
9' -
30'