1976, 03-10 Permit App: L2933 Residence /
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT,
GENERAL REQUIREMENTS PERMIT FEE Tog,ac/
PERMIT REQUIRED, A land use or structure permit is required by County Resolution to erect a building or structure of aqy
kind or alter any building or structure already °recteq, or to change a lana Use. ConstrUetldn mast conform with the
,i Spokane County Building Code and Zoning Ordinance. Conntruction in subject to inspection,
WATER. Water Supply must be aDDr*Ped by t40 cca9ty 6110 State Health Departments. here work printer mamma disturbs
Ulu surface, ahouldera or ditches of County Rondo, perminoion muaat be obtained from the county Engineer's Office:
SEWAGE SYSTEM. Permits AT r@gained in all canes by County Resolutions Now. 45=133 and 47.235.
SET-uAGK PIM PROPERTY LINES. In most zones and under most circumstances. a net-back from the front property line, of at
leant 25' in required, a b' 0141e yard, 15' side yard from a flanking street, and a 25' rear yard are required.
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num um, WI zn 2t oat niut7gEl,F ryy Rat AA 1laF£RFang Until Stating A$ nMw
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E fFurapTivti p Smtm! R$lmE-e augu:a aEss_lEFgelnigun RF RReannAta RRaR itatiwun ala aannonnia AAiOC ailR twa Ian
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APPLICANT
FILL IN BELW THIS LINE (/1 )
u;tAte Ai ouuws fri _ t i � L CM
" n - _ ��aQ
Arahiteet ---_,Aggraee Iii1E1118
Engineer AddrunepQ MannCdrhtP6ot*P . a -" -? AUtirean ` d >; --C: Rhone 5 secisrA
Levi Deacription of Prop ty (O'vn complete dead:tien !rem deed, th J•ra-:i-t. i6 .)
kr . y - : Aria { • .
' , ' tel
DESCRIPTION OR WORK: Nein _)) �� Addition- Remodel Mering Bid . Zdhe Firo ono
Sine Of L*t _el X l -14-- !A !f . sewage system ifW E1-- r oust. ' �fait'
_ rr_. Con Br_. etc_I4-1°
= ,
j
Stories Dimeneio�ir -•" T 1 $q• Flu ??—z g141itiO ' ' -
Rooms oaths Basement _���rt�' Foun.:tion Const: f"N.l.4' I? Chimney �7r1�,. Fireplace
(Full, part, nun . !Kind) 1 IN 4 err
Haat. $ystom , L, Typo of Roofing L d E t Fini h asa• � i41' Y �
Int_ Wall Finish 71
Use of Rldg. i• I /, , , 1. .err _j` NO. of Unite.I..eadro. m& 3
PLOT PLAN
Draw sketch with dimensions showing: (i) property linea; (2) street or road locations; (3) location of eainting and
rrCDOBed buildings; (4) dlstanee to property lines and streets; (5) dimensions of buildings; (6) location of se P sys•
tem and water supply lines. /7P
NORTH RESIDENTIAL- OeWIERCIAL state Lieeneo N
qlv
Sie ' iR d -k Pier n� Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit , _
tw 3
N in Sewage Permit AMMO. ' -el.-
-1 ..
Plans Received
Plane Checked
Plans Returned__
Plans Picked Up
Plans Mailed
SOUTH
I hereby certfy i. et-notion . .' itted - correct and there are no other structures loc. ed on • .is property except'
as shown.
/gliff-_,der_ .✓-.rit 4 ,., 3 Q
�� Owner or Agent ii Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CON TRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0-4/[- -144,eqe- i DO NOT
/�WRITE BELOW THIS�7ALINE
Your street address will be C i� )4-t (,(,ti`-� The zone is f�'
Sewage Permit Number Issued Building Permit i- Receipt �p._Z Issued
Remarks T
Form 523 Bldg. Code
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