1977, 03-08 Permit App: L7407 Residence�l7J^
Canty of Spokane, Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE...kV
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 47235.
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 gzGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-b'ack an7 ingress
find egrfss.
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 LL/ iZ S 9/ As S O C. Address 2 -� £ Phoneg:r 06b
Architect Address Phone
Engineer Address Phone
Contractor �.AM e- Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
'%// E AM/2 rij /-7Q FT O f TN L EAST frzQ FT O F 77WL GOC3 /VO Fl-
o
Tt3 / O 7-` S - •i Lac X 2- k' A/6 . (/ M /Uzi/ pry
CP/1Act c =t Poe r:c9,ci DF 2-J� / —D 704
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone _4_ Fire Zone 3 -
Size of Lot 7o x /31; Sewage System la 07.7Const. F/20M4� -
Stories / Dimensions/AY/3,. - Z/O K Z,f— al, tionsConc.Br., etc.)
LL Total Sq. Ft,�OQo Valuation .�/j 00 -1113 --
Rooms ___fL Baths / Basementa Foundation Const AL - 0
(Full, part, none Chimney Fireplace
(Kind) (Number
Heat. System C t1 C. b Type of Roofing C0/4/ f'OJ'fPork•Ext. Finish ,/ 44Z*1 L_ Int. Wall Finish 4!i/1 L�
Use of Bldg. a!/d�L L P 4,4f /47 ,e_le '/Q •Cit/C C- No. of Units _ Bedrooms
7 PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and Itpr used buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
m
NORTH
RESIDENT( COMMERCIAL
S• L 4-7-711Ckit- /1107-
I
1IC7
I hereby c
as shown.
SOUTH
certP ormation ubmitted is correct and there are no other structures located on this property except
414
State Lice e No.
157
Ino. Ins. Act.
No.
REQUIREDS'7
Plumbing Permit.i/L Wig/ACrw Heating Permit 044f /b3'r& 'LLL £EC
to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent
ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA. FERMI .
DO NOT WRITE BELOW THIS LINE
Your street address will be f y 90 6 E (,L1 C L It fL
Sewage Permit Number Issued Building ermit
Remarks
The zone
Receip�� Issued
40
r -
Form 523 Bldg. Code
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