1976, 11-09 Permit App: L6144 ResidenceU-10,
L_;o
CAntY P of Spokane, Wash't ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIiff, 0.
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.
NATER. 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.
COLT TY 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 runnin ith the lal
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE 99�/f
Name of Owner Address
Architect Address
Engineer Address
Contractor • o Address
L@gal Description of Property (Give complete description from deed, i
V
DESCRIPTION OF WORK: New Addit
i
Size of Lot r i
Stories 1 Dimensions
Rooms Baths Basement
Fu ►, part, no
Heat.` System'
Type of Roofing
Use of Bldg.
Phone
3a7-4/043 ,
Phone
Phone
Phone
receipt, etc.)
n Remodel Moving Bldg. Zone Fire Zone
/OSXlJa1
Sewage System -' . - onst.
rJ - �Fr., Con r., etc.) Alft w% d
7 �G n/d X 1�, Total Sq. Ft.�,��r!Valuation
_ Foundation Const.. (' Chimney Fireplace
-} (Kind) ( umbl� er
Ext. Finish 1 sl�� Int. Wall Finish--i1GL-'L 0--
No. of Units —Bedrooms
PLOT PLAN %
raw sketch with dimensions showing: (1) property lines; (2) street or r"d locations; (3) location of existing and
proposed buildings; (4) distance to property lines acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
M
a
N
-a
tate icense No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit tet.,_ �'L_C-e
Sewage Permit
Plans Receiv<
Plans Checke
Plans Returns
Plans Picked
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
sown
Owner or Agent Date i I v
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
Your street address will be _te^".[
a The zone is ,
Sewage Permit Number Issued Building Permi Receipt ` iillsued
Form 523 Bldg. Code
����-►- w*--=es�� �c����p�y�u of -gyne r 4rt5u reet of Lot 16p ALL of Lot 17 and the
TST 72.5 feet of Lot 169 BlOcik 50v KOKUX TOMI SITE in the County'of Spokane and in the
State -of Washington.
T 1b
1" = 2v'
h showing legal descripticn of the EAT ?2, 50 feet of Lot 160 ALL of Lot 17 and the
12.5 Feet of Lot 16# Blook 50t KOXL%,jO T(ANNI SITE in the County' of Spokane and in the
6e of Vl ashiniton.
31 T
LaT'd
Seal t: 1" = 2G'