1976, 10-06 Permit App: L5744 BarnCourfty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT0r2
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
and 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 OP BUILDINGS. A permit 1s 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 J d ,
Name of Owner MR • AIAI E/Q Address S 4fl.4'' wheeled Phone 924-./t39
Architect Address Phone
Engineer /� Address Phone
aiNari-a Address - !VBAve- 940 Phone - L2
Legal Description of Property (Give complete description from deed, tax receipt etc) Ai4PJ.f 3.2 6 4`/
Contractor Z G'• 4 - / O&
99.-0 6
Lor o}, .f3/eak 1, fie -I.0 Ceded ark adAL 3.a _
DESCRIPTION OF WORK: New< Addition Remodel Moving Bldg Zone
Size of Lot -2.2 9 X 2 29 Sewage System N A
Stories / Dimensions .2..6 X 3 `.G-/
Rooms _..i Baths A/,A Basement paroel A FoundationQQnq Const (1-4-144-4097;')
(FuHeat. System ,Nf4 Type of Roofing �.GI.GI.IC/e Ext Finish ]=11
Use of Bldg. 'l51o_-/--vt/ —
Total Sq Ft
Firepne -
Const.
Fr., Conc., Br., etc.)
ValuationO AA ;2-a-
Chimney NA Fireplace WA
(Kind) (Number
Int. Wall Finish NA
No of Units_ Bedrooms
PLOT PLAN
Draw sketch with dimensions 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 lines.
/ NORTH
217,f_ 9 .
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RESIDENTII - COMMERCIAL
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State License No.
OK on P/6—h
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plants Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ,.lify information sted i corr ct and there are no other structures located on this property except
as shown. G
� ��.rr_t�w•-a _ submi
f 0-6 - 76
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be yC 4/a3 The zone„P + "I-C'ata%-
Sewage Permit NumberIssued )ding Permi " Receipt c7 �� p Issubd
Remarks
Form 523 Bldg. Code