1977, 02-15 Permit App: L6979 Residence 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON. SPOKANE. WASHINGTON 9920
744.
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 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.
.1.,11A?i'si!'. 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 d!°P'icrw
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
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 BELOWrTHIS LINE (7(1 9c) c-,
Name of Owne .1 —• •A a Address �1. /m r®•it ` 1__ Phone n-41--- bc/ =� t.
Architect Address Phone
Engineer Address Phone _
Contractor "} -- `-' �`� Address k.�( Phone A
Legal Description of Property Wive complete descriptipip from deed, tax receipt, etc.) ,
J
.23- ate -q1
DESCRIPTION OF WORK: New Addition _ Remodel Moving Bldg. Z e, �_ Fire Zone _
` ��//' / o_. Sewage System of Lot q i 1 ,.{r.t � ' g Y em (Fr., Conc., r., etc.)
Stories 9� �dd��'� q w
_Dimensions / Total S Ft. V luation
v+ . ig r
Rooms Baths Full,part nonel- //Foundation Const. ry� = Chimney (Kind) Fireplace` N mb 1
Heat. System �•ow.r./ A Type of Roofing (...:C2-04, Ext. Finish ` Int. Wall Finish It1- "".-- ",,",f(1t
Use of Bldg. :�.r is7. t(`, YV�`�l .1k E-�l ' �L t- C 1 No. of Units—Bedrooms
ti' 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 KLL-COMMERCIAL IDENTIAState Licence No. r
tie --i-- - I� 041'73Q-is
Ind. Ins. Acct. No.
\ REQUIRED
\\cc -t1�
Plumbing Permit-
m Heating Permit
a
N _,- to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif •pfp ,�� ted is correct and there are no other structures located on this property except
as shown. m 'oraw , y
or Agit Date
A LAND USE OR STRU ' PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
`... NA.te-A. DO NOT WRITE BELOW THIS LINE
1#') .--r f!
Your street address will be C �� c2 ft /7 tralet*. ' j The zone is ' "..:1 •vee- ,/,,,...,_
t -
Sewage Permit Number Issued Building Permit/t r 7o/ Receipt 75;4-Issued
^
Remarks / - ,
v
Form 523 Bldg. Code
\,
,e1M.M.L........0 .1. 1
A
Ill
i 71'
I
/ a / IR / a",
1
i .
. ;
BEST ,q0MES
. ,
: .
Lor Z &of le 3- .
N-,
, .5.w...LivAil WAV
, .
I , .
1 , ,
. :
! ,
1 1-
1 i
I t_
i c'it
,..,
! 'gAL. t41
V(
...--.....,___
_T-
1
1I
2
2°
1 20.5"
/21
1:
I .
1 II
'41814, g Q. Fr _ ..s-a. r: 27
I 122.
1 ,
i
. ,
1 1
1 ,
1 ,
Itt,
16' ; -1
,..,
. 1
....."
..'.S .
1 g 1
1 9 4•5"
__)
------------4.-
____
,
. _, A PPP ti
.......___.... . II.
\ ---0
0 *
...--..... -