1976, 10-08 Permit App: L5773 ResidenceC6ty of Spokane, Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f ifs
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED, A land use or structure permit is required by County Resolution to erect a building or structure of aur
kind or alter any building or structure already erected, or to change a land use. Constiuctlon moat 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 watei 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. 45-143 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 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 accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OP BUILDINGS. A permit 1s 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 len
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 1N BELOW THIS LINE
Name of Owner.__44,411___./ Gen Address E37J g C,IM r -J IA .I Phone yrs -211.3
Architect Address Phone
Engineer Address Phone
Contractor AL" A Goo Address 37D 4- C .f�e .,1 Phone f/83-2/.4,?
Legal De tt-Y of P�P4rjY IGiv �W let descrippmn IC .077 y rrc&Pt etc S 6 e• —co", 2.
_/.2_,0/
DESCRIPTION OF WORK: New Addition
Size of Lot /2.0 ): /fO
?
5 2 - S/ ries Dimensions m���p����
Rooms Baths Basement
_ part. none
Heat. System c Type of Rao'ng
Use of Bldg. C .4 ?-t ws T,.:1
Remodel Moving . Bldg. Zo.nee / Fire Zone -3
Sewage System sr it le Const.
(Fr.. Conc., Br.,{ etc.)
Total Sq Ft / Pp9G Valuation .cry- 00d. 00
Foundation Const. C-�t.+('ri1-e Chimney /)c;i/�� Fireplace .3
/ 7--
(Bind) vv,, (Number
/SA+�16 5 Ext Finish / 11� Int Wall Finish A//�- ✓d //
✓ 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.
NORTH
/2d
ESIDENTII - COMMERCIAL.
X Jr P ctZt et -c- i `!I Ltll Ve^'
SOUTH
State License No.
4 L1 C.F e- 21-f erg
Ind. Ina. Acct. No.
REQUIRED /
Plumbing Permit /'t' / 5/// h
w Heating Permit cM I fir
Sewage Permit Nd /Me +^
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
7,2
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address W111 be // /2 / Er 4, Xi a,,,, -e The zone inzfizigiStafit
Pwage Permit Number Issued Building Permit tk5W,,? Receipt r5.5 -2;r2 Issued
marks
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Form 523 Bldg. Cade
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