1976, 03-03 Permit App: L2831 Residence r
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 00
GENERAL REQUIREMENTS PERMIT FEEp----
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
i kind or alter any building or structure already erected, or to change a land use. Construction mast 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.
MATE HIGHWAYH_ Where the structure abuts a Otatc Highway. clearance must ce ontninua lism aia6 to Bat-hank iii4 iharenn
li and egress_
COUNTY ROADS. MOPS 811 utreot Pight-Ot-!P,' may not be 6arfaiii d until staked by County Road Department and work mug . Do
performed in accordance with makes_ Points of ingress and egress must no approved by thv gouty FntlitSai;P,
maniple of RUIL.DIItlCR_ A puwmit in Pnquiwsa to msu he g!3EtiBE L"aiidjej, When a building in moynd on a county or x ate
Highway, clearasse must 3!a Ottil,thtd €Kam tha 9nunti Ensineer endlor Mute Highway Bepartment_
ACCESSORY hilILbihes. Accessory buildings (garages, sheds, etc,) require a separate permit.
RESTRICTIVE COVENANTS. Su11deZe should ohoek provisions of covenants or dedications and easements running with the lagq
Which are enforceable through civil action. County Officials can not bring action t0 enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ,6. � std j ii, I , ii. Addr$$q ,�k3.2f9 f, 9 6 , rPhone. '--- W
Arahiteet Address -, Phone
Engineer Address _ Phone
Contractor S,4 41't .... Address �^/ Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) V � -'v�, 1•2-4:95-41a " l.)L)
I I° • 41 1 kejt— e 3-5-I A.,-1-- 7/ety.V,0
DESCRIPTION OF WORK: New K Addition Remodel Moving BI g. Zone. / Fire Zone
3
�f d �
Size of Lot -�� ^ l Sewage System `� r7+oast. `�-./?�x-2-
�y '/ ,/ a �/ (Fr., Con etc.)
CO
Stories t Dimensigs .c / 10 I ""' 7d c, //t -psi Total Sq. Ft. 195 Valuation ���
Rooms Baths v{ Basement ounda ion onst.
Full, part, non L�O�KJ .t: Chimney fireplace
(Kind) (Number
Heat. System Type of oofing Ext. Finish ti.--i11 Int. Wall Finish
Use of Bldg. f 14..) 2 , lEtrii-C.4.2oma..
No. of Units—Bedrooms
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 RESIDENTIALCOMMERCIAL State License No.
916&'' X013 o/-bi-it -ieFa7
Ind. Ins. Acct. No.
,die44-- Y iewry
REQUIRED
Plumbing Permit c�
n+ Heating Permit FA
mCV46// >s
tA N Sewage Permit ,
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I SOUTH
I herebye,ti y nf. oration sub tted is correct and there are no other struct es located on this property ex ept
as shown ?4'Owner or Agent g Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(J,u. 21ij.a AO DO NOT WRITE BELOW THIS LINE /,
Your street address will be E . I / /c2- "/ al` The zoneAis
Su
^
Sewage Permit Number Issued Building Permit..2,S(K% Receipt v �.3 Issued
Remarks
Form 523 Bldg. Code
}
°
6.
t I `
r
1 1' 1 i 1z a
1-E.7)
_
i
1 ' ' i 1'
' i I. ' i 1 . . ' L- .. ''' ' '
I. • I /
I ' ,
I
U
E vs
r '` ... - 'i,..
I -
I
W /
,
Qa0t,cdte 4
y J, - -�G 1 i
o
I
1
i .
• S •
R4
a
W. � � ' - '.() 1,. ,
C-. / -I_ : f
g 414-'7 ‘r -T N
A`