1976, 09-22 Permit App: L5546 Residence4111
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
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 laud use. Conatruct ion 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. 45-135 and 47235.
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 requirgd, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Wheee 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 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 y .,zi yt_ 992/1
ys
Name of Owner .x/ ) / Orir. . Address .0-,/ Phone geze-L,082
Architect Address Phone ••
/ Phone
Contractor NCIAAd'fe- Address Phone
Engineer Address
Legal Description of Property (Give complete description from deed, �tax receipt etc ) P, -H'LP i al%'2 '- 0 904
LOT 2 .B.t.K 2 14.i -74i FAttieA.) /
DESCRIPTION OF WORK: New M. Addition Remodel Moving Bldtp. Zone / Fir one 3
S
Size of Lot /4'9 X29d� Sewage System em .p �'• Co., C c.'+wg/
/ / Fr., Conc., Br.. etc.) 40
Stories. -Dimensions 6.5X40 L£SS aJ/o �Total Sq Ft. -22641 Valuation -S-O�O 00
(frYr(A'cfth/ iWni
Rooms Baths a Basement Foundation Const. Chimney F replace
(Full. Pert, none j(Kind) p I
Heat. System Typ�Aof Roofing Ext F'nish ' �. ! �I if7 %(r
Use of Bldg. .titin Ct, Md- r -if.4 L
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
Int. Wall Finish
No of Units _Bedrooms 3
NORTH
ITDENTIAL
COMMERCIAL
z cdteueguA Pi <it fJO,fri
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(3) location of existing and
(6) location of sewage sys
State License No.
OK OA/ ,c/ 1-a
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Plaked lip
Plans Mailed
SOUTH
I hereby certify ormation submitted is co rest and there are no other structures located on this property except
/J
as shorn. )(
C r 9-.1.2-76
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT M BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
01-44 figetita 191)
P_. F6 zf,. (awe -9 The zone is Jgttf -�� )
Year street addrffaa will be /O 0/9
Sewage Permit Huber Issued Building Perm31T 55 ��teceipt 3Z 37 Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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