1976, 02-03 Permit App: L2556 Residence County of Spokane, Washington G°
3
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT e ,: l..-7-4 -
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-back and ingress
/end 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.
APPLICANT FILL IN BELOW THISLINE
Name of Owner 0' . � 1 A C Address r ?/2 3 •S/�". 46 / )4,E. Phone 92-6,_ ?4100
Architect Address '52',TE =Z '7-7 C C Phone
Engineer Address Phone
ContractorF74A/k 402.4/ Address C. J7('2/ sit'L 4 &--3-4 Y Phone 92'V--e' 97
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 9 j2/I
le r /.5' / Se e,c,4- 1,. LL/ t �-5z t ' , 4Ner .5' ' ,4,ai.,v, ,
n 3 l., - L 4/q
DESCRIPTION OF WORK: New )( Addition Remodel Moving Bldg. Zone / Fire Zone - ?
Size of Lot 9G X 72 e Sewage SystemF�/'7G Const. i-`-'09"-A01&L.--
/0
/U Fr., Conc., Br., etc.)
Stories / Dimensions 32 /X -2 S// I / I-)-- L Total Sq. Ft. Valuation s24 /5-0
s
Rooms 7 Baths / Basement ,CVt-e= Foundation Const. ee/Y P/e.-ErC Chimney . Fireplace
(Full, part, none) (Kind) (Number
Heat. System �13.6 Type of Roofing e-01,1,3 Ext. Finish /time Int. Wall Finish ,OA k «/,9-4-4..-
Use of Bldg. "re-S./ f7/('E Lv/T// / ( 4A l�Q,E'A -e No. of Units / edrooms y
// 4)44-41 'c''' -eli 'K''4-PLOT PLAN �,��
t`
Draw sket h ith dimensions showing: (1) property lines; (2) street or road locations; location of existing'and
i.
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. -
NORTH CESIDENTIAL COMMERCIAL State License No.
23 � a33-- c / - ///2 S
(l ''')
Ind. Ins. Acct. No.
� � y /e . -37 z.
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C'�T/52-L F-24//5-/-/67) .147 ,�- J'7 REQUIRED
Plumbing Permit 47G'EL-C' '-.
m Heating Permit i'ear 0
m
toC-� 0/20,1=e,/y/r,
47 eh`e= vii Sewage Permit EG 4.-e) ..— S.¢
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cgr fy information submitted is correct and there are no other structures located on this property except
as shown.
—iie1S'4rt 46119.s _�• .�-
Owner or Agent Date
A LAND USE 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 / 6 42/ ji ..... , �> The zone is a •
Swage Permit Number Issued Buildi�4Permit o 7 sJ jj Receipt ssued Ci
marksW1 r
Form 523 Bldg. Code
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