1976, 07-29 Permit App: L5597 Residence ite9::"41
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE . 4.6
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 mast conform with the y
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 f
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.
-� ; A APPLICANT FILL IN BELOW THIS 1.11119/r„,C)r,
Name of Owner /s , . Al AP ` _my_ Address ' / •+ Phone 9 ?"" `s�`?
Architect / Address Phone 9-43--9g- -s-"/ •
Engineer- �-- "� Address �/ Phone
Contracto O21 L 'c Q-4---,---YL Address /�� � �,,, ) 'L ��a O"4Phone.�
Legal escriptign of Perty (Give complete desptif n fro deed, tax re�.) �/' _ • - -0
DESCRIPTION OF WORK: New e----------Addition Remodel Moving dg. Zone�.`r - Fire pne 13
Size of Lot / Y / ?Q d Sewage Systonst. irc2ra �
�Fr., ( on Br ,, .) j
Stories __Dimensions CS X3 Total Sq. Ft�� 7 7C7 Valuatiy�)7v
i
Rooms 67 Baths �? Basement -•L Fo dation Const. i Chimney Fireplace L�
Kind) (Number v/
(Full, part, n9 �`' - �/
Heat. Systen _Type of Roofinq..19.1 Ext. Finis .7 Int. Wall Finish e"s�-Atje,,/,-e-
i / 4 C -L No. of Units_Bedroohls 0
Use of Bldg. �iCi'_C''i CJ 2 f �
PLOT PLAN
Draw sketch with dimensions showing: (1) property 1-•- ; (2) s- -et or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines a . street-C-1N •imensions of buildings; (6) location of sewage sys-
tem and water supply lines.
tI1ItORTH RESIDENTIA - COMMERCIAL State License No.
I ^ ,J,- /0-0 / Ind. Ins. Acct. No.
,t6/76` .
Q RED
/ /iPlge _ J��„
4) / -0 umbinrmit
"
o \ m Heating Permit /'>i-%--
m ' a us Sewage Permit
-1 ) n) -I
Plans Received
Plans Checked
/ Plans Returned
Plans Picked Up
Plans Mailed
1
SOUTH
I hereby certify infori,:t'sn submitted is correct and there are no other structures located on this property except
as shown.
Owner or A_ Date
A LAND USE OR STRUCT RE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
a
DO NOT WRITE BELOW THIS LINE ry
Youráireet addss will be /Q1?4 ` , / �f;l,. The zone is —�-SewagePermit Permit Num r Issued` Building Permi_ 5 . Receipt d ..10 Issued
r
Remarks . I ..
f �/ S��y, ), J/� J/ ��4- >i�� : .22 3 0/-EA7O,t1 ' P.�4/3ME
Form 523 eldo. Code / "�� '� �-'ems./ 'LLC' GL-<' .2 a 3-47/- 5,2 57y