1977, 02-14 Permit App: L6957 Residence i
Cc ,ify of Spokane, Wash.,.gton
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,�/�/
rao
GEN RAL REQUIREMENTS PERMIT FEE ?`� "/ ---
PERMIT RE UIRED. A land use or structure permit is required by County Resolution to erect a building or structure any
kind or alter any building or structure already erected, or to change a land use. Construction must conform witthe
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner • . _ t..9e. • Address 6:z8O/ IJ, /'i v€j'-DJei V� Phone (724 -13.28
Architect Phone Engineer Phone
Contractor 0.64;z6'l'0 LO 'j' Co. Address1: 72? 4 (IP�i(/ ji"--- i✓.G PhoneY24 -4'308
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,n j *-5" ►Eke4T THE
-. :. 1 / 0 r . .A AP . . _ a ,` r filar:w r. •
0 «nom "ti :9-4‘.5-,j 3 OF?/y
DESCRIPTION OF WORK:New 7' X Addition Remodel Moving Bldg.Zone / Fire Zon C
Size of Lot -o X/.3I?LQ 1 Sewage System c'4 /T ZA/'K Storks s le:
Const. 1' F_ Dimensions .3J `�X3%1�`� 1 3 1 °� e'
J am✓/ ��,. 'h G X i'O Ci otal Sq.Ft. / �p Valuation 7�50
(Franck,concrete,brick,etc.) /
c^ Ga�T'Here
Rooms +7 Baths _Basement t/LL Foundation Const. CQ�t16112 1'6 Chimney Mrb. Fireplace "G
(Full, part, none) /� (Kind) (Number)
Heat. System,/9. 454S' Type of Roofing c.0//70301Od Ext. Finish WO[7T Int.Wall Finish {}i1i1.4C.l
Use of Bldg. f Sr AG/�' . r s,e, i :i2= - - - Ant.'" ': No. of Units / Bedrooms 2
Garage or Carport Attached ATrAc/16-D Private Detatched
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 State License No.
Ind. Ins. Acct. No.
071340
REQUIRED
Plumbing Permit ;V ON Alia;
* ( (-2/D - en Heating Permit 1.1L15?D/yl HTC>,
en
us f1 Sewage Permit ` fORN
1Nc�
r �r - g
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
___--i- • -.• -: ify in y ,y ba i ted is correct and there are no other structures located on this property except
as shown. �
- � �_ /I.f./ _ - 4
_. Owner or Agent Da e
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•
/ G%/J
Your street address will be _ O/ - a ' 1 ' / 'e zone is(27/7•--4-
"v'"` A'-'-
-
Sewage Permit NumberIssued Building Permit / Receipt 52S,' Issued
Remarks 1,.._ 0 0 0'7
Form 523 Bld Cade /,4
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