1976, 10-26 Permit App: L5963 Residence Cbrinfy of Spokane, Waskn gfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT , c
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.
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.
-' 7 APPLICA. FILL IN BELOW THIS
LINE ¢¢``,
/ d CJ ... ^ Phone S C
Name of Owner�•� �- � / .;,.dress
Architect Address Phone
Engineer Phone
a C
Contractor 3�n�� _ Address es""'E Phone 2-1 ,
LegD scr tion of Pro rt (G'v com lete des ti }rom deed, tax receipt! etc �.
4� _' s' p l/� Gf7L✓ 4� ��� ",i '-."'� er ' ... ,- e A-fa_
',yrez,ti 7 a) /}‘14,./ .,4`)-X•4‘..) '5 1-Z - `ffle
DESCRIPTION py WORK: New 1/ Addition �- Remodel Moving BI Zon Fire Zone
Size of Lot ,tlX/r , 4 ( C'e1/r) e Sewage System - ft - onst. .� xt J`'z- .,._
i �.. (Fr., Co c. Br., etc.)
Stories imensionkt 7 %_ Total Sq. Ft../5 Valuation...S.,.27,6&(..._.-
Rooms 6 Baths / Basement �,� Foundation Const. ������ . , ChimneyF Fireplace
ull, part, none ` ( (Num er
Heat. System - Type of Roofing Ext. Fin.sh Int. Wall Finis `, '.
Use of Bldg. -1-1,,j4.2 .-?4-7.-71,-",c-6, .,
.-` ' " `•eC , --"----"--t'.-. '. g..,--'c.,-,e4 -141 - No. of Units L,Bedrooms
(1../lPLOT 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
Ind. Ins. Acct. No.
•
j)
REQUIRED
v) tO Plumbing Permit /LVL
`; rn Heating Permit / ee
in f
i Ailli) N Sewage Permit r7?�t,e ' -
7 i ` Plans Received
----- Plans Checked
Plans Returned
a-/ A'e-_ Plans Picked Up
Plans Mailed
SOUTH
I hereby ertify inf.rmation submitte�,is correct and there are no other structures located on this property except
,,,,.,
C
Owe r or Agent Date
A LAND USE OR S CTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be fief/K.,/ AV-3/ 7 -7 t -U�- The zone is �A ' J
Sewage Permit Number Issued Building Permit/A ,_?Rf" L
eceipt � ssued
Remarks
0<0v UfaA-et,
Form 523 Bldg. Code