1976, 03-15 Permit App: L2958 Residence r ,
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITti
GENERAL REQUIREMENTS PERMIT FEE a w'-
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a buildingr structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mist 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 wateit 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
any egress.
C TY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
Pei formed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MING OP 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 9 G6' • AP —_
Name of Owner r . w Alir":_ Address -: — i 7 r•-i Phone O,
Architect Address Phone
Engineer Address ���1 Phone
Contractor Address Phone
Legal Description of Property (Give complete descri do fr deed, tax receipt, etc.)
/_ 117- / i-'7z-
) f,s T pie 4 c/ ,- ,44 07Q/ ;/-2/-40 i1- ,-5.5- -,!--3 - 9C 3
DESCRIPTION OF WORK- New Addition Remodel Moving Bid :one I Fire z e 3
Size of Lot ' // )( ()L,Li Sewage System onst. '--
` % _ (Fr., Con ., B tc.)_ 6
Stories J Dimensions r-8 C . ' 't y X2 9 Total Sq. Ft V uation ► 7e(-1
Rooms Baths Basement �// Foundation Cons (24-14 Z.` - Chimney fireplace /
( I1, part, none find) (Number , ,
Heat. System /_ .i; Typ: of Roofing - Ext. Finish 11�--'� Int. Wall Finish ��✓ _i
Use of Bldg. __"_. r=---- —' �_��� No. of Units_Bedroortts -�'
PL•TWLAN O
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) locatiop of se•eg sys-
tem and water supply lines. ••
(r...- NORTH RESIDENTIAL -COMMERCIAL State License N.. J
Ind. Ins. Acct. No.
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' ,ei , I;fre_ t,
REQUIRE
Plumbing Permit
yy m Heating Permit
N
a
in N
Sewage Permit
N
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
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I hereby cert" y nformat"osu itte i or _. and •• rare no other structu a to ted on this property except
as shown.
.,,e - , nr, ,'"1-1,t4, ;--75
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
r� 7/4,a_,,kL Z DO NOT WRITE BELOW THIS LINE
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Your street address will be f. 1/ L' c1 4 `f`3racke., -, The zone is \A J.- r
lewage Permit Number Issued Building Permit arts'�Receipt;!,s.,ii� Issued
0 arts,
Remarks /�_
iliPlin/
form 523 Bldg. Code
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