1976, 06-01 Permit app: L4122 Addition 'Spokane
AS NOTED
Spokane ounty Bldg. Code Dept
Date , - & my of Spokane, Waskli ngfon
by ''' ' ,..L.,,4 BUILDING CODE DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE ., R1AuT QL_
GENERAL REQUIREMENTS PERMIT I'EE .- e
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or strt.cture 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 land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLI ANT FILL IN BELOW THIS LINE
Name of Owner _-_ ( !Z e /• ii L
' - Address �-� -5- 4 -,,,t l9_C^ Phone 5'`E -3-6-!0
Architect Address Phone
• Engineer Address - Phone
Contractor et._iilC,�— Address ` Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ' - ` _ ,-).`5-,- / - /���"�
, u,,,_,
-S. Y 0( <-.1.C( .---e/L-e _, /4) 70/-
4-
. DESCRIPTION OF WO • New 1C Addition Remodel Moving Bldg. Zone Fire Zone -
Size of Lot 211 ' X l 44_U - Sewage System 74//9- Const. V./ .4
C
(Fr., onc.l,Br., etc.) _
Stories. Dimensions ..,*
DimensionsLO x 10 t j6/ Sq. Ft. leV�,/ Valuation / -e
Rooms / Baths Basement F undation Const.. d 4111 Chimney /Of- Fireplace 49
Full, part, none �/� �� a1 'PoiY e (Kind) Numb,
Heat. System Type of Roofing k, '"" / Ex rit �C,_-. Int. Wall Finish 7 -'� 41V.Q�,If2
Use of Bldg. . e _t1..F = f?-�--7--y1 2A' n-14 C1 / No. of Units_Bedrooms /1.//2
PLOT PLAN -4-44-
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 j (' RESIDENTIAL- COMMERCIAL State License No.
•
OctrV�u / �,_ = _
Ind. Ins. Acct. No.
V ' (}7()--)1-2-1
A REQUIRED
fa
_ ( Plumbing Permit •
XV m Heating Permit
ni us \ C'CL,1/,._ N Sewage Permit
uNsI ik'
Plans Received
it: Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is corect and there are no other structures located on this property except
ass own. _.-' ' n
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 �t�- The zone is 77/ I?
Sewage Permit Number Issued Bu lding Permit i li Receipt O A, %j Issued
Remarks
oil Form 523 Bldg. Code