1976, 01-30 Permit App: L2527 RemodelCtnty of Spokane. Was$gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT %J
GENERAL REQUIREMENTS PERMIT FEE. -1
PEWMIT REQUIRED. A land use or structure permit is required.by County Resolution to erect a building or structure of ay
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
r the surface, shoulders or ditches of County Reads, 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 47235. + ..
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 0P 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.
APPLICANT FILL IN BELOW THIS UNE
7
Address �rrr�'---4'F��,/ 3 /111...... Phone
AUdress
Phone
Name of Owner
Architect
Engineer
Contractor
Legal Description of Property IGiv
t i cQ - /too 4 .
6A
ddress -.9 Oatpphhone
Address / 77/J \�•',"`-".`.-"' —990!/ rieSr
omP i to dose Ilion ynm sed, az eceipt I
41— 4 1�.�1 I — o.<, (1r,-n-tn-il
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DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zo0e
/ C % I a.. c-
Size of Lot Sewage System ConsC
q `' jr.. Con Br.. etc.)
Stories / Dimensions /F?/ X 5 s Total Sq FL d Valuation Sap O A
Foundation Const ��/ el' - Chimney (Kind) Fireplace Sap
Number
Type of Roof(n Ext Finish Int Wall Finish
Rooms -Q BathsBasement
-
Fu 1. part, none
Heat. System
Use of Bldg.
., R
[tAU/1z 9FM-vu-,'cone+
1 fthg )r.
Draw ske' with dimension a wpros (1) pro
proposed buildings; (4) distance to property lines
tem and water supply lines.
p2 a4 -424 -424"s -T- No of Units _Bedrooms
-14
L./1AN (' . 1.`4 /
y 'lines; (2) street or road locations; (3) location of existing and
and streets; (5) dimensions of buildings; (6) location of sewage sys
NORTH RESIDENTIAL - CO:: : IAL
State License t O Q9
2-o l (-a6' '
Ind. Ins. Acct. No.
C- o t
hereby c -- Cy
SOUTH
ormation submitted is co BC
y,o
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
ti
Plans Received /
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
)/a e�ere no other structures located on this
r or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTIOIy,COMMENCES.
THIS IS NOT A PERMIT.
roperty except
DO NOT WRIT BELOW THIS LINE
Wo
Your street address .111 be {r �/ The zone Sa
Sewage Permit Number Issued Building Permit _ 4A, 7 Receipt
Remarks J'_ d. D -Q,/ ' % ,. j L / ;5,4
Form 523 6tdg. Code