1976, 09-22 Permit App: L5532 Addition• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR 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 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.
l� f / APPLICANT FILL IN )BEELOW THIS LINE CieC�
Name of Owner lici F Y' l�' �' S '_ AddressL-
Architect Address
Engineer Address
Contractor _ 1"�i117 C Address
Phone
Phone
Phone
Pho e
Legal Descrietion of Prope (Give co fete description fr m deed, tax recent, _etc 1
G / C)
DESCRIPTION OF WORK: New ` Addition Remodel
Size of Lot (76/5—
Stories Dimensions /a X vZ
Rooms L. Baths\iC j1 Basement iOlri�
(F�"u(I, part, none)
Heat. Syste _ Type of R mg 6"41,1p-- Ext. Finish
Use of Bldg. / PG . E'',1Tv9I = Ue 17.1 t'ri y i^O(? (L'}
Moving
Sewage System
Foundation Const.
4 C'r1 C
PLOT PLAN
Bldg. Zone / Fire Zone 3
FF?*
Total Sq. Ft Va
Chimney1.4.0 E—
(Kind)
Int. Wall Finish
No. of Units
Ibk..S`:8 '
nst, rb4 dbI C1
., Conc., r. etc.)e
luation
Fireplace =1.4'!� E.
(Numbcqr
S��rr'f KQ}ck
Bedrooms'n 6I'1 __
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
NORTH �RESID —COMMERCIAL
Plumbing
m Heating
N Sewage
Plans
Plans
Plans
Plans
Plans
State License No.
\
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^,v 4✓
Ind. Ins. Acct. No.
'ICI-
REQUIRED
Permit
_
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GPT" 41c'
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Permit
Permit
Received
Checked
Returned
Picked Up
Mailed
SOUTH
I hereby certify information submitted is correct and there are no other
as shown.
% ¢G-u/� '2/
Owner or Agent
structures located on this property
7- -76,
except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be //..O 'i V4 )).Ey Iv i} y — s. -3L The zone is g i S
Sewage Permit Number Issued Building Permit
Remarks
-t-4-41t.
Receipt . T Issued
Form 523 Bldg. Code