1976, 11-29 Permit App: L6373 Residence Ct.anty of Spokane, Waskagf on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure o .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-Aiiok 4iz4 Wrens
and tyres€,
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County (toad bepartment and work suet nu
performed in accordance with stakes_ Points of ingress and egress must be approved by the County gttgino,:r,
MtIVIND DP H47ILPINBD. A flfrfAlt 1& roouiroo to NOVO AA :<;<i4til a tUll4ini. Where a building in mored on a County or state
Highway. clearance must be obtained from the County Engineer and/or State Hichway bepartment_
ACCESSORY HUILDINGS. Accessory buildinus SDnrages, sheds, ere.) require a separate pormit,
RESTRICTIVE VOYSNAN`1'H. Bill140Yd 41A01114 VIM f)i'O71414A4 Of MOWN- Of dedleationn and easements running with the land
which are enforceable through civil action: County Officials can not bring action to enforce covenants or nouleationn_
y APP_ CANT FILL IN BELOW THIS LIMP F {
Names of Owner ' Addreaa _sem 'r tz- s rs' . FL..< Fnone _7.1117„11, _ A
AFRR Itlit t 1 REIM EE PKsni
Fneinnnr __ o --sr4ddrmem Chong
Contrmetor- • — ss'si r L Atlt[rmme Bkss�
L>c»®I EliB ,.-• 7. Pf86nilY Ifiiir "sin�Iiitii Ah48iis€isn • aiii i ne:• '®a reeei:r e,{ s. at.' - • i
4642 II •
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DESCRIPTION OF WORK: NOW -.— Addition RoMOdel — Moving - Rldg. Zone Fire e .
Size of Lot / 1' (' . alar sewage system Conet. r-r..t
1 yC/ Fr.. Cone_. Br_, ®te.)
Stories! Dimensionsf' Total Sq. F rr Valuation ®�} j
Rooms • Baths - Basement t LL.0 Foundation Const. __I Chimney)' :).i- Firep ace d'
7 Fu I, part, none] (Kind) _. (N ,er
Heat. Syste �-g.rt ..b Type of Roofing 1- Ext. Finish / "//
-[ Int. Wall Finish- O'r_
Use of Bldg. c 4r ;..--L, /�.. No. of Units r Bedrooms /IL>
ii` :/ 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 Li nee No.
Ind ns. Acct. No.
I REQUIRED
.6 _02_
`' I ` 0_.,
n j
Plumbing Permit
m
m Heating Permit
H 1 N Sewage Permit
.-i -I
F.12)0
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce ify information submitt d is correct and there are no other structures located n th' property except
as shown.
it k� `1' z& I { /. % X
- Owner or Agent ! Date
A LAND USE OR STRUCTURE PER 1T MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT. '
DO NOT WRITE BELOW THIS LINE
Your street address will be /1C), /V' The zone 1s .C: ;�>
Bewail Permit Number Issued �LBuilding Permi , r ; •ceipt 4/7 Issued _
Remarks ..1; •()._. / ,6�+2 (i Lidr-C-i �4 .L , t.e, co'L
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Form 523 Bldg. Code f
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