1976, 08-19 Permit App: 5166 Addition l-,
y
/
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRE). A land use or structure permit is required by County Resolution to erect a building or structure of any
II 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 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
Derformed 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.
{ �1APPLICANT FILL IN BELOW THIS LINE ,,� , ,�.:� try 49926 1�
Name of Owner I��-•�- -Q tJ- o(�( �X- Address el�� !,J l'fJ .�( Phone S•'1`.2 7 76
Architect Address Phone
Engineer Address Phone
Contractor ./7<1,rdF' Address Phone
Legal Description of Property (Give complete •escription from deed, tax re,-pt. etc.) At--/I-'f'/e_"4- .. �v�.v d36/
A• o T` /41-,;C- 3 h-k d 4_i /. / ., C t-,7. /-
DESCRIPTION OF WORK: New ifii Addition •emodel MovingBldg. Zone 9
Fire done
/
Size of Lot /.•,- -O X A...3-0 Sewage System 1✓r1onst - �
(Fr., Conc.,lBr., etc.)00
Stories I Dimensions . ..c.6.- X`-inn Total Sq. Ft.qd e) Valuation A/dile)
Rooms Baths A��1 Basement Foundation •nst. 1. J ,Y - Chimney ' Fireplace "A
1(Fu(l, part, none (Kind) (Numb/er
Heat. System Type of Roof g i. 44,..4 ext. Finish 741.0 ..�. Int. Wall Finish -'L( / �Use of Bldg. (.Cr I - Ai 4 i . A -C., No. of Units_Bedrooms
PLOT 'LAN
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 IiESIDENTI•L!—COMMERCIAL State License No.
/O r .4 V4
ti
Ind. Ins. Acct. No.
J ,li /
'�I w;
�xis7"' 1 Y REQUIRED
P/11
R,Es
lo�TA ' Plu . g Permit
H .ing Permit
in
to H age Permit
EX/.57
I . Plans Received
4-04 R. �' Plans Checked
't Plans Returned
ik Plans Picked Up
lans Mailed
SOUTH
I hereby cert rmation sub , ed s c•, f ereare no other structures located on this property except
as shown. . /�
ner 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 6 (' 20 y O z4, ari}.�_ The zone isa- . . •4-'_
Sewage Permit Number Issued Building Permit Receipt ' .5 Issued
Remarks
/ ___
c..,cn 523 Bldg. Code
r •
4,.//6, /76 -., U.
( IN. ri '- °
to"
.7 . County of Spokane, Washington �,J/ / /6
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 ,• o
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 11 0
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 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 {f, zi.ve qQ o
I Address _ L p
Name of Owner /114 _ � � _ �.• �� 6 � -<' G /� XI; 11--449 Phone ,-.:"----ii -- "'[ 7 7,---
Architect Address Phone
Engineer Address Phone
Contractor r� :�j- Address /J Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) ,+ ,} �% .^,. �/r f� ti, ` e) =-`."1/
A /)7' /-! , Orr .< P-4•/)_012/.t,' ' FA AV
DESCRIPTION OF WORK: New Addition X Remodel Moving Bldg. Zone t Fire_Zone r
Size of Lot /.5/,..//_V Af 'i / • Sewage System 14/Qonst. - ,'" ..',-�
(Fr., Conc., Br., etc.)Q J
/ � --'5, � --
Stories / Dimensions �� 3,..1x � Total Sq. Ft. 7 6 Valuation
Rooms / Baths A/4 Basement /tl n Foundation Const. Il ;-'"/-/.�ed"p Chimney A''M Fireplace /VA
(Full, part, none( / (Kind) (Numbey
Heat. System JA Type of Roofing 0.11v'� Z.- ,Ext.Finish 1,'�ft4A Int. Wall Finish---1-1-44.- /11,11/
Use of Bldg. a 1,7 t-1 r.t-r -s_[ ), 4 rl ,Z- tr."51J.1 IrQ No. of Units_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.
— NOR-TH REQ SIDENTIAL-COMMERCIAL State License No.
/eS 7H ,d( v r' J
Ino. Ins. Acct. No.
tta
I Q E.xrr
/ R�sSI
REQUIRED
• �Pita PGS if 0
Acc/r7.6-1/ Plumbing Permit
f en Heating Permit
a
en > Sewage Permit
Ext-Sr _
CrAPAGE • Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
•
SOUTH
- I hereby certif i formation sutfmitted is correct and there are no other structures located on this property except
as shown. x
4---i..-7 ',;/:7 .. 617/1/,. ..,/e- 76
Owner or Agentv Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THEPREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE . .
Your speet address will be t' t': ., 0 ,(1, /O 22. 4-4.p The zone is Z_,. 7ZA vc P,-'_'.
Sewage Permit Number Issued Building Permit 5/(Receipt ace_ Issued
Remar I M 1: -ID it T A N' T
ry /7 —Z----—— --
'r- s egpy must be presented
q ._�-^—r� , ,."� a-t %C e') 1 to the Environmental Health
j / Division before Building
...... coo WA., r„a_ C-1) 3 7 J"''' Permit can be issued.