1976, 11-03 Permit App: L6101 Residence• •
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -.4, (0 i
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 t
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
per ormed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
HMOV NG ig way,OF clearanceNGS. mustAbeermit is obtainedrfromred theto move an County, Engineering and/orlding. When a State Highway uilding is Department.
moved on a County or State
Department
ACC ORY 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 UNE
Name of Owner J /�!7 / d {A,A/p)/ Address &71.1D/30//3 Phone �2-� 'J 5 R
Architect r� Address AJc/ei7 eke- jd', Phone
Engineer Address Phone
Contractor S42 /77 `e Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc
�
07-. 71/ O 3 ,<C ? ,f3i3ry ch? /A/ Pie__5
'j94d �/-
DESCRIPTION OF WORK: New X Addition
Size of Lot / 70 V 426-%
Stories Dimensions
Rooms 6, Baths
_Q...cri7.0
Heat. System
Use of Bldg. 140 rn
.?t k' 3-t)
Basement /y //
1, part, none)
Type of Roofing
Remodel
Moving Bldg. Zone Fire Zone
5-5,0,77 oust. ).4')57MP
(Fr., Conc., Br., etc.) ,�
Total Sq. Ft /%ate Valuation '7/ yaa
�or�N/f�%- Chimney�F"mak Fireplace
/ (Kind) (Number
Ext. Finish I C,O�l Int. Wall Finish a/ ms's'/i
No. of Units 1 Bedrooms -2
Foundation Const
Sewage System
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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
N
NORTH
RESIDENTI
— COMMERCIAL
I hereby certify inf
as shown.
m
4/1
State License No.
OK Om F/h-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit i /C/;1—Z7 R /
Sewage Permit 01/1,//
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ion submitted is corject and there are no other structures located on this property except
Ow ' or Agent
LAND USE OR UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
its 4,/,< 44 /)
Date
Your street address will be
Sewage Permit Number Issued Building Permit +(/b1, Receipt g 9 ff / Issued
Remarks
DO NOT WRITE BELOW THIS LINE
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