1977, 01-19 Permit App: L6750 Remodel Canty of Spokane, Washidgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITii,fr 7 00
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 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 len
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE i
A j
Name of Owner M is a, Address arkb 1-1C, N," t gr�f "1
Phone I �`
Architect C L.,FL..L.-P ND Address Phone
Engineer Address
Contractor $ 4?ii �� Phone
Address Phone
Legal Descri tion of Propert (Give complete,descrip ion from de d, tax recei t, etc.) ca5Y/ ` 7CC1r,
qy tiE7,, o 2' '/4 a._ 2 _,2 s • y4
s
DESCRIPTION OF WORK: New Addition Remodel V Moving Bldg. Zone ___I__ Fire Zone .7
Size of Lot l X /3/ Sewage System onst.
�yp (Fr., Conc., etc.)
Stories Dimensions T0 r r,! t otal Sq. Ft. / 'i^
3 0 Valuation/Cry
Rooms Baths Basement Foundation Const.. Chimne +' AA •
Full, part, no
Yf� Fireplace fL cT
( md) y
Heat. System Type of Roofing ..4"eb—"•A Ext. Finish /'r C.-'ri.e.r.-- Int. Wall Finish ( C'C/'C.,.ber
Use of Bldg. . di . '• 10. No. of Units 2 Bedrooms 41-0/0?•---4---
PLOT PLAN
I
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 RESIDENTIAL? COMMERCIAL State License No.
(1 L{ ) pie r
.'r.., . :e 10 ak- .ICA-7L L...‘Iv�> a Ino. Ins. Acct. No.
. c orf) t Pt sr V O F 04"- �-.1�'1 ,ja
Iii rc 1414-, 6)C.G�(....p4:N.`Troti REQUIRED
12.. 4 - t...,-- <N. (-%1-1-1' t`.)ts. L c: 2 % Plumbing Permit 1
m m Heating Permit '
NSewage Permit
—I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I as shIwhehreby ce y i,formation submitted ' ` orre t and the are no other structures located on this property except
•k . 110 A.,.4 .,. . pr/i7/77
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 ..:-..s.,/
COLI KE"
Sewage Permit Number The zone is r /
Issued Building Permit �b7Sla Receipt�..'V.� Issued
Remarks
Form 523 Bldg. Code
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