1976, 11-01 Permit App: L6072 Residence i
.-,t--d
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 s5-6
APPLICATION FOR LAND USE OR STRUCTURE PERMIT s/'
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 e
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.
' -i APPLICANT FILL IN BELOW THIS LINE
.4('.57 2R IV EY!2CRE-EV Phone 92 4 ".5'3...LP--
Architect
of Owner /f- � �'��� ��`- Address � ® �
Address Phone
Arghitect Address Phone
Engineer Phone
Contractor 4las*:..a°s" Address
Qpa�.3�3�-v7vS
Legal Description of Property (Give complete description from deed, tax receipt, etc.) J�
r7" I S g- u' 30 1 4't La4. 1 i +'*i P
Addition Remodel Moving Bld Zone / Fire Zone ..3
DESCRIPTION OF WORK: New �s4 N k onst. �����"'
Size of Lot ze X /3 e ' �'� Sewage System Con Conc., Br. etc.)
0
Stories Dimensions t..ttX 3g(A.", e'X 3 8 1'1A'� Total Sq. Ft. Y 'Z Valuation :3°6
fsv� Foundation Const. Chimney Fireplace
Rooms Baths Full,part1enone �� Kind) • (Number
,. s { Int. Wall Finish
Heat. System meq/ Type of Roofing Ext. Finish
IPi�•
...14.4-7,6
(.4 ?' No. of Units_Bedrooms
Use of Bldg. YYTT `�`"'"
PLOT PLAN
`dy 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.4. State License No.
y � NORTH RESIDENTIA -COMMERCIAL '`c I .
V 2z3 -a
Ind. Ins. Acct. No.
` W
REQUIRED
00
�jy�
Plumbing Permit�- /'
‘%1 Heating Permit : +v 1,'"'' 'a"'4
3$ a Sewage Permit C42t L0
to \l/
1 �-
F la ---ir- 1
4
1
'`1-‘-- 1.1°.i a,.___, Plans Received
Plans Checked
14•L. _ — : 1 L — -1 AC Plans Returned
W Plans Picked Up
O Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown 9- : p- i - 74
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 59/9 /6 (A4)-€_, The zone is aeI"
Sewage Permit Number Issued Building Perm% ,n Receipt93 3 Issued
Remarks