1976, 10-20 Permit App: L5896 ResidenceT
County of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT C70
GENERAL RlQUIREMENTS PERMIT FEE _._�-------------
PERMIT REQUIRED. A land use 01 structure permit is required by County Resolution to erect a building or structure of soy
kind or alter any building or structure already erected, or to change a land use. Construction most conform with the
Spokane Comfy Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. Rater supply must be approved by the County add State Health Departments. Where work on water comectlons disturbs
the surface, shoulders or ditches of Comfy Roads, permission meet be obtained :roc the County Engineer's Office.
SEWAGE SYSTEM. Permits are required is all cases by County Resolutions Now. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In mast zones and under most circumstances, a setback 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 s State Highway, clearance must be obtained pertaining to set -beck and ingress
and egress.
rICCMTY ROAOS. Work on street right-of-way may not be performed until staked by County Road Department and work meet to
performed in accordance with stakes. Points of ingress and egress meet be approved by the County Eaainawp. —
MOVINC 'OP^BUILDING6. A permit 1s required to move an existing building. When a building Is moved on aCounty or State
Highway, clearance meet be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a se cerate Permit.
RESTRICTIVE COVkbiA TS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. Comfy Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE!
Name of Owner N/ /I t k /91 J<'c- Address Phone
Architect Address Phone
Engineer Address _
Contractor Address _
Legal Description of Property (Give complete description from deed, tax
etc.)
Phone
DESCRIPTION OF WORK: New Addition Remodel
Moving_
Bldg. Zone + Fire Zona
Size of Lot �/�✓ d c X 4d- G %
Sewage System
STerz /� CCrane fYZn n2 _
�f� /Y--1 ✓a C- %/9#NLc
x
L
I�r., Come- Br., tc.)
Stori s imens ,� - ' � 2_ �L
'�
1 Total Sg.
Ft. ! Sr yj Valuation �(- Ze'
Rooms74 eco Base ant C Foundation Cmmt.
Full, part, non
1.!
Chimne� 1 rf Fireplace 7
INi nil (Number
Heat. System C t -f L Type of Roofing G C'o/ O Ext.
Finish /-�t?A/�12'
-
Int. Wall Finish SC.C4LZl.�
Use of Bldg._ C t. c _f dAZ-
T
-
No. of Units _ Redr - 'TI
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
Lem and water supply lines.
roxi'.
u
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines sod streets; (5) dimensions of buildings; (6) location of sewage sys-
/-
see[[e L1ewn
i, 7-1
lno. Ina Y t: ri,.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed _
SOUTH
I hereby testify infgymetion submitted is correct and there are no other structures located on this property except
as shown. / ,
Owner or Agent Dat, /
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
Year street address will be 11y/5' (1[" C[� The cone
Sewage Permit Number Issued Building PermltJ\�J�k 44 Receipt.
Remarks
Form 523 Bldg. Code