1976, 06-16 Permit App: L4372 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 n40
i,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT -
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.
RO
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.
SOIJNM ROADS. Work on street right-of-way may not be performed until staked by County Road Department and Wbr§nest 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.
APPLICANT FILL IN BELOW THIS LINE /q�O 7-:.�►
Name of Owner //" i Address f X A a //C�i,n ref`tea 4-'S'��
Architect Address Phone
Engineer /�/��� Address / Phone
Contractor L/7d/"Vt'S A. / /e/A/S Address ./OW!/9/a// L4.c4'e, Phone ' c > -C4).27
Legal Description of Property (Give com late des iption from d , tax recei etc.)
J,7 r�- /�C ,,,///� 'e / /a i e AT.ye�s. 4 ; , n.�,
l !"z? 'e/ /1`0, _3 4 -44'0
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
/
Size of Lot //5- X /,,Qi Sewage System -5951/c Const. —/W%/07 F'
(Fr., Coni, r., etc.)
Stories 1 Dimensions 2a;/a8 ! /� Total Sq. Ft./7 7s Valuation
Rooms Baths Basement _e// Foundation Const. f',CMf/"e7 Chimney. //-/"* Fireplace
kfr FA011,,, part. none) /4 r5 �/ r (Kind) �1 (Number J
Heat. System I4 �t. Type of H ing Exx .,Finniish /l// Int. Wall Finish�leS/ //"T 7�EtC�
Use of Bldg. C�l�C/1 C e- / 1 >�Q� .C'/yLC-a No. of Units 1 Bedrooms 3
(4 / PLOT PLAN
l
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
RESIDL;NT)AL,-COMMERCIAL State License No.
Ind. Ins. Anat. No.
.=.2‘ V-i77
fes - a0L4 . eitZ .,P
REQUIRED
Pliiinbifig Permit
m Heating Permit
m ta
in rm Sewage Permit
—1 -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no otherstructures
/located onthis property except
as shaven. /� /� _ Q 1 y IGl//e. /b4 /974
�(�,j,J1,QJOwneeCr orCAfgent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
AA,_ .i'l, 1 DO NOT WRITE BELOW/ THIS LINE p ,�f
Your street address will be /J A a 3 e r . 7 LJI / )[. The zone is )+/-4'-- J"a'W'�'"
Sewage Permit Number Issued Building Permit.-, +"ceipt //(Aft Issued
Remarks
Form 523 Bldg. Code
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