1976, 05-28 Permit App: L4119 Residence APPROVED /;P ( IC.11hut: .1),V- '71
Spokane C unt,' Clcry Gct.° 0_;',-.
Date __County of Spokane. Wasfintgfon 75 ,e-1---.----ei---/A"--1
by 'e2,,,,, : II \ • • APARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 Ay
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '5
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-backland 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
hick are enforc ble through civil action. County Officials can not bring action to enforce covenants or dedications.
.Gc r►— ) APPLICANT FILL IN BELOW THIS LINE j i% '`r c. ci4-164,
Name of Owner �C r - / -44r �4Address - , Phone c•)-#F--°-'66 (
Architects-[Y.- Ah(-€W, Address Phone
EngineerAddress Phone
Contractor Address f �� Phone �«
_
Legal Description of Property (Give complete description from deed, tax receipt, etc.) A tek.L:rk '`'-S ',/- Q•=/
A.D T /g ,M-/f '`{ All,47e*A-ul--,Lt_ C -4.-
DESCRIPTION OF WORK: New X Addition Remodel Moving Bld Zone / Fire. one
Size of of "JO de"/(51D-a` A PP 1/ Rt G L/A!4 R Sewage System XQ4/k'S- Const. '4/
ff ; (Fr., Conc., r., e c.))
Stories4E Dimensions 3f:• X�:5--,p -t .;:/XY4
L6 c /?. i-L6.-S `�_‘ Q"' Total Sq. Ft.rf- 9O Valuation0-)
Rooms . A Baths _ Basement Foundation Const, 0...�1t--tom Chimney Fireplace °Z
Full, part, non (Kind) (Number
Heat. System -- i Type of Roofin• _ Ext. Finish Int. Wall Finish
Use of Bldg. / _•.c1 f" �'� AN o. of Units._Bedrooms s
(f[
PLOT PLAN 1
Draw sketch with dimensions showing: (1) property lines; (2) street or road to tions; (3) location of existing and
proposed buildings; (4) distance to property lines and • 1,5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. ,e14.57- i
NORTH- RESIDENTIAL'—COMMERCIAL
State License No.
/ n Ind. Ins. Acct. No.
C ' /�
L ,," 3 - 0/- 117/e'
.
REQUIRED
Plumbing Permit (
li
1 7 , I, Heating Permit l
Zp�ppd��= / Sewage Permit
L ' Plans Received
/ Plans Checked
Plans Returned
, �
� ,-- '� Plans Picked Up
j Plans Mailed
VERA CReSr- I IV°
/ S,V M
I hereby cert' y infor tion submitted is correct and there are no other structures located on this property except
as shown. 'Alt. yL"L t6ti,{'
1.-/ ,��----'.g— -7:--
Diner
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
644,'PL ,:i', DO NOT WRITE BELOW THIS LINE
g y ,9 f ;
Your street address will be '�/G 'T1 f �t�� The zone is.c�LLL (,�,�.�L7iLf_41-:.12-44._
Sewage Permit Number Issued Building Permit jt //7 Receipt C73S Issued
Remarks
Form 523 Rldn_ Cnde 4