1976, 08-09 Permit App: L5007 Residence0 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITS °
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRE). A land use or structure permit ie required by County Resolution to erect a building or structure of any
kind or alter say building or structure already erected, or to change a land use. Construction mut conform With the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
RATER. Rater supply must be approved by the County and State Health Departments. Where workon Water connections disturb.
the surface, shoulders or ditches of County Bonds. permission mut be obtained from the County N161meer'e Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolution. Noe. 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 -hay may not be Performed until staked by County Road Department and Work meet be
performed is accordance With stakes. Points of ingress and egress most he approved by the County Engineer,
MOVING OP BUILDINGS. A permit Is required to move an existing building. When a building Is moved on a County or State
Highway, clearance most 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 ranging rith the land
Which are enforceable through civil action. Canty Officials can not bring action to enforcecovenantsor dedications.
J P BRAV�C APPLICANT FILL IN BELOW THIS LINE '8/�4&6AMp gy'V'4
-^ �°-�-/ J/ 7
mof 5
Nae C 7�' L'47r Add �u IT
Architect Address Phone
Engineer Address Phone
ContractorR t / Address Ph e
Legal Description of Property (Give complete description frown deed, tax receipt,�'2
'04-K/ 0192HAVBr-:t !]I=
DESCRIPTION OF WORK: Newt __ AdditionRemodel _ Moving_ Bid Z e �— Fires e
sae of Lot 9D x 137 Sawapa sYetem . Const.
t ���IFr., Conn., etc.) z4
Stories L Dimensions d A / Total Sq. Ft. 1ZZ_Veluation `--O
Sone
r. _� ¢Rthei Basement. indetion Const. Chimney/ i•GLrt it Plays —
HaSystm fR nInt. Wall Finish 'V �flaS
Ueof Bldg.
No. of Unite _ Bedrooms
PLOT PLAN
Draw sketch with dimensions shying: (1) property lines; (2) street or road locations; (3) location of existing and
Proposed building.; (4) distance to property linea and streets; (5) diceon lona of no ild in"; (s) lonat fon of sewage sys-
tem Intl water supply lines.
NORTH RESIDE —COMMERCIAL State License No.
OK
Ind. Ins. Acct. No.
REQUIRED
Plumbing Pencil
Heating Permit _
Sewage Permit _
Plans Received
Plans Checked
Plana Returned
Plats Picked U,
Plane Mailed —
is rn AVE
OUTH
I hereby ceryify iaformat�o submitted Is correct and there are no other structures located on this property except
as .hya� 2z _ j .L - b)• — 9 — 7(�
I Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
J� 71,rI,Q� DO NOT WRITE BELOW THIS LINE
Toy street address will be 2S 70 7-/y fi VF.. The sone in ZJ�2'N•� "`�
Sedge Permit Naber Issued Building Permit Receipt 408 Issued
Remarks