1977, 01-19 Permit App: L6720 Residence C4vnty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G
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 t
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 ingre
and egress.
COUNROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
perfor ed 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
Highw , 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 -IT -P25�A2 S Address IAf d a Phone
Architect Address Phone
Engineer Address Phone
Contractor Address Phone �i
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,.) /Y'Y/" e. �6J'~3/ — n'30 7S
S. 9 2he1c '.3 .eiS tr Phi
DESCRIPTION OF WORK: New V.-Ad ition Remodel Moving Bldg. Zone / Fire Zone -J
Size of Lot -% — Sewage Syst:II ' onst. �'�"' '
/ , �Fr., Con , Br. etc.)
Stories .Dimensions , t /0 )( T C
l� Total C. %s�>: Valuation OM
Rooms C�1 Baths Basement 0 Foundation Const. �_'.t3,.c-,--- -/ z?% Chimney Fireplace
Full, part, none) (Kind) ( er
Heat. Syste Type of Roofing s`, Me.-- Ext. Finish "r/ " / / Int. Wall Finish
e of Bldg. T, v)y/i_. cji l .QSI6anC'f aAlt-,W-
.1
f1*i C No. of UnitsLBedrooms
.!6 X 1 t/ '(��'c°� PLOT PLAN nd� hYff u
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
ite
proposed buildings; (4) distance to property lines arid streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH RESIDENTIAL COMMERCIAL State Licens, NNo
O/` — g/' /177
Ind. Ins. Acct. No.
See...
liii.
1 REQUIRED
P/o�f Plumbing Permit
��/ /r• `- in Heating Permit
"' a
ut y, Sewage Permit
- -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereb ertify information submitted is correct and there are no other structures located on his property except
as shown.
'. O, :/ lett /
/9 77
Owner or Agent
Date
A LAND SE 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 i do A .. ....,. The zones S. i R
Sewage Permit Number Issued Building Permi rigs Receipt 337 Issued
Remarks 1 P 4, , .o
Form 523 Bldg. Code
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