1976, 09-22 Permit App: L5520 Residence "Rn .c ;; 1 Job , 132
Coanty of Spokane, Wash. igfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.L1°•°O
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 C
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=147.235.
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Z�.c'!�lyd Peeves �'ori..'•..t. ryi'. Inc' T n `� 11217 n r ire Qia2
Address P. •. �. =,_, ne " ,_1 4. Phone
Architect Address Phone
Engineer Address Phone
Contractor qamP Address Phone aM
same c,- e"
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
'Ts e Sec. 2f?--2F-44
DESCRIPTION OF WORK: New s " Addition Remodel Moving Bldg. Zone , Fire Z ne 3
Size of Lot .7:: Sewage System onst. rano
1 (Fr., Conc., )
1
Stories _Dimensions Total Sq. Ft. Valuation
(? C : a
Rooms Baths 1_ Basement ttz. COYCY
Foundation Const.. Chimney Fireplace
(Full, part, none) (Kind)
BF Type of Roofingshake . ,nod dr'" -
Heat. System el_ec t _ , Ext. Finish Int. Wall Finish
Use of Bldg. r1Ie fare. res, l � No. of Units_Bedrooms 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 RESIDENTIAL-COMMERCIAL State License No.
ri-c11.-ar-c243ef
/ Ind. Ins. Acct. No.
attached 232-257
REQUIRED
Plumbing Permit
rw Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as'strowy. -s) 0/22/76
Owner Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ah Itvl 9i is DO NOT Wi�ITE BELOW THIS LINE
Your street address will be e s �� The zone is S / R
Sewage Permit Number Issued Building Permit, 147-1,1,?()'
_ Receipt -'i
;LlifIssued
Remarks
Form 523 .:ode
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