1976, 02-06 Permit App: L2582 Residence Spokane, Washington /
County of Sp � tt' i g "
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT g...f
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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
Name of Owner/ "7'P / /0/17e'S/ /11'C Address yg0'� /'„ reee Phone 53.t.-R---7-V9/
Architect Address Phone
Engineer `/ Address Phone
Orr'” " /44'x'»5, /:.e Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Xa 14.-...:2, .&/. C 4- � P f c 'r7e- L75.), , L.dr.w/1Y e Qi Oh e.10
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone ---
Size of Lot4, MerZ.,/�� Sewage System '- 1PConst. 11- V'7 t-
Fr., Conc., Br., etc.)
Stories / Dimensions / I9 ! x�'i,/x. a Total Sq. Ft/'4p ?- Valuation's C?J 0670
Rooms 7 Baths as= Basement/�'l/ Foundation Const. e--71rfc?"°T41e-. Chimney i/<CA-Firep Iace r
(Full, part, none) ,fj `- (Kind) (Number
Heat. System Ailt.&- �TType of Roofinge.-e 32-el C'Ex�t.. Finish//GeC� I9J /�)eInt. Wall Finish Z,/cyeZ't7/7
Use of Bldg. c`S/0470Wt i-` ceo, .4 Q rizav-/r e tl/e//yli .A`;7 No. of Units../Bedrooms 7
PLOT PLAN -2 -2‘0-4 G
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 233 State License No.
. --69/-7/4.3S---..
Ind. Ins. Acct. No.
N.
at,3,ri0 4,4eAr785 .56-91 ,?7-- 4/ 't ,.fid,77 0"I REQUIRED
iliti''%0 , Plumbing Permit/ '"r /',�t"�t `
m Heating Permit cf/ff-
\
tin
to {7 N /1A-S #
Sewage Permit
- % i —1
IN ,, Plans Received
S Plans Checked
IPlans Returned
Plans Picked Up
z
160'0 ' Plans Mailed
aft kg-a / SOUTH
I hereby certify information submitted is orr:ct and there are no other structures loca •d on this property except
as •. n.
e''-. l CZ,- e ,�_ " t �.1- 4 , 'Mr
Owner 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
_,... f / doei,_
Your street address will be t / --- 3,-,e,- L Gam/ The zone isAi
Sewage Permit Number Issued Building Permit , i .J%)Z Receipt e T )_sued
Remarks (9'S-7
Form 523 Bldg. Code