1977, 02-26 Permit App: L7044 Residence R
C my of Spokane, Washington
4})4 BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT j
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.
1 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
i 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.
nA`P. cPLICANT FILL IN BELOW THIS LINE c�z
Name of Owner lJOL V-1 e/1/ -1[CT/Llh/ Address /ON Ai PiPJP 5 RD. Phone 201-4168 -2-..
�
Architect Address Phone
Engineer Address Phone -
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
A� 9., �3 oce ✓A+u d, -vj, , r5 ,mak 7* 2.7s4f( -deo1
DESCRIPTION OF WORK: New �'-Addition Remodel Moving Bldg. Zone I Fire Zone ,_7
Size of Lot 08 X%55 Sewage System...ifiai. ..01FrnsConc. Br.,•
etc.)
Stories / Dimensions 6,4 Y2-1 Total Sq. Ft./ '// Valuation ...J.°, D
Rooms _ Baths 2 Basement ______ Foundation Const.. �,!toto Chimney Fireplace Ou
(Full, part, nonce _ (Kind) (Number
Heat. System _-J-14 Type of Roofin/g� C'.Oi 171 Ext. Finish / )// Int. Wall Finish y/aI
�
Use of Bldg. , j5/tl- u?f ic,.. t41;7`4.. Ct I FTI- No~ of Urlits/Bedrooms 3
PLOT PLAN `'r�°�'/�/`..-7rrf--J--121-7aV-I
street or r ad ocations; (3) location of existing and
Draw sketch with dimensions showing: (1) property lines; (2) a a ng
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
m and water supply lines.
NORTH RESIDENTIAL -COMMERCIAL State License No.
111()01- 2.2.501-/
Ind. Ins. Acct. No.
i
c".7-
. 4.7-L-
REQ ' D
. 4 Plumbing Perm' _I-L 4 `%.r
Arr m Heating Permit d ' -
rn a
N N Sewage Permit
-I -
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
C
SOUTH
I hereby certify informat'+,'submitted is correct and there are no other structures located on this property xceptl
IC as shown. l
;-', 2-- 26 -77
Owner 4 Agent Date
A LAND USE OR STR TORE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI OT RMI .
7) or- DO NOT WRITE BELOW THIS LINE
Your street address will be �7 '
/� � /OBJ � ��� The zone is
Sewage Permit Number Issued Building Permi; • U Receipt, S Is ued
Remarks
Form 523 Bldg. Code
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