1976, 06-04 Permit App: L4177 ResidenceCoupy of Spokane, Washi on
BUILDING CODES DEPARTMENT, N. 811 ,JEFFERSON, SPOKANE, WASHINGTON 99201 S—p
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.
SET -BACK FROM PROPERTY LINES. In most Zones and under most circumstances, a set-barok 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.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in ccordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF B ILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clea ance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUI.,DINGS. 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
Name of Owner F 1 ' wood W Card son Address 15008—E. 1 -6th Phone 924-0906
Architect Address Phone
Engineer Address Phone
Contractor same Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) .41
G� y �__
T^+ R _P1 nrnlr I Mvrnn FGt.a_tPs #6
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone `
Size of Lot irregular Sewage System Sep •t •&dr .const.
���.r>�-��,. r., Co c., Br., etc.)
Stories I Dimensions �? �er e Total Sq. Ft. ' Valuation 60 , 000 .00
Rooms 16 BathsBasement 1 ! Foundation Const. concrete Chimney ma50'lr$iireplace 2
7`51I, part, nonef) (Kind) (Number
Heat. System e1 ne .fornedTypilof Roofing ngdar shakos Ext. Finish Wood Int. Wall Finish shPPtrock `
Use of Bldg. S1 1. family res. q 4 No. of Units _ Bedrooms
—
PLOT PLAN
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.
bt)
as
NORTH
SOUTH
State License No.
22-Ol-CA-RL-SE-W282RM
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit�—
N
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby cert ifjy.information sylbmitted is coyr *tpd there are no other structures located on this property except
Owner or Agent Date v
A LAIID USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMENCES.
THIS IS NOT A PERMIT. �;
41 i.rQ. ,Cf DO NOT WRITE BELOW THIS LINE ^
Your street address will be Q� v "-' The zone
r,r,Sewage Permit Number Issued Building Perm Receipt_
Al
Form 523 Bldg. Code '
0