1977, 02-14 Permit App: L7000 Residence917 (-
CALty of Spokane, Washtgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 n
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �,2
GENERAL REQUIREMENTS - PERMIT FEE ------ —..---------- ._..
PERMIT REQUIRED. A land one or Structure permit is requiredy touchangesolutio use. eiecta buildirluctionaat or can trf,tutarrglth
0f ARLY
kind or alter my building or Structure already erected, or
the
Spokane County Building Code and Zoning Ordinance. Construction is subject t0 inspection.
WATER. Water supplymnet be approved by the County and State Health Departments. Where work on mater connections disturbs
the surface, shouldera or ditches of County Randa, permission must be obtained :ram the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions New. 45-133 and 49.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a aet-back from the front property If... 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
and egress.
COUNTY ROADS. Work on street right-of-way, may not be performed until staked by County Road Department and work most be
performed in accordance with stakes. Points Of ingress and egress meet 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 Hlgbway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builder. should check Previte
Ions of covenants or dedications and emewnts rune ing with the land
Which are Safe ... able through civil action. County Officials em not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Omer._y� 2 S 9M OSSCC Af l Address SO f2f % ,(r .Qo Phme 6.41EZ-?
Architect Address Phone
Engineer Addmair Phone
Contractor 3M44nd t Address More
Legal Description of Property (Givecomplete description from deed, tax receipt. etc.)
for 6 f [ccK IQ 114 &4 T 7c'it/
Pna me h 3 't/ 2— E IS O E
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zona
of Lot y� 3 X /J Z . b Q Sewage System Ss nr"/L Format
!�-✓✓ IFr., Cone., Br., etc.)
//�Il�6ria. J,_ imensions i2 y . 3L Total Sq. Ft. Valuation 2/ k'xs°
fffff Raw'ps Baths� Baseent lL Foundation Const C".<1C''E �� Chimney", Fireplace,
�Fdl 1 m, part, non � (Kind) ' . (Number
Heat. System EL A:4 d6 Type of Roofing fjot Finish YQA-lYf /L- Int Wall Finish fZ-�CA/L
Use of Bldg. CS i0 evcil No. of Units_ Bedrooms Z�
PLOT PLAN
Draw sketch with di .... I... showing: (1) property lines; (2) street or road locations; (3) location Of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply linea.
NORTH RESIDENT( L — COMMERCIAL state License No.
Ind. Ina. Acct. No.
S_E L 4->7W rH c U A40 %
REQUIRED
Plumbing Permit d a ✓C <(/2!!Z/ L
m Heating Permit &0j YsdL/L 'fL Lc
N
Sewage Permit
y
Plans Reeeived
Plans Checked
Plans Returned
Plans Picked Up
Plays Mailed
SOUTH
I hereby cerGilY informtjbn submittetl is correct and thele are no other structures located on this property except
as Shown. / / s
Owner or Agent &t. /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(t-- 24dt O DO NOT WRITE BELOW THIS LINE
Your street address Will be r -f L44 0 /P/l�� dCJD/�l�e zme
Sewage Permit Nastier Issued Building Permit Receipt) ffi..ad
Remarks
Form 523 WWI- can.