1976, 01-12 Permit App: L2412 Residence•
County of Spokane. Washiu gton
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / 7 �-
GENERAL REQUIREMENTS PERMIT FEE..CO/
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
BASER. 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 PROM PROPERTYaI5ES. Ie most zonesand 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
77 performed in accordance with stakes. Points of ingress and egress must be approved by the -County Engineer.
OWING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Mighway, 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 BELOWLlTHIS LINE
Name of Owner ' ' a �. ! / P Address Y n + i7 C/i/DinWgLne 979-/96X
Architect Address 470/ to_ Phone
Engineer Address Phone
Contractor Address��ll Phone
Legal Description of Property (Give complete description from deed, tax receipt etc ) Y- oaf 1 — 90 A 3
La+ 34 S/6 a
g,. .L(SI di
DESCRIPTION OF WOBK 4 • ,Addition
Size of Lot $O X. zoo
Stories-Dimensionss
b X b G
Rooms 7 Baths 2- Basement OW"
Fu I,
part, none
P A s/erAATrpam% Roofing
Szsy 6`'°
Heat. System
Use of Bldg.
Remodel T Moving Bldg. Zone 'k=-Zonee. ire
38
Sewage System S�a$ �" Co'F
w w l.h--`e [Pr.. Cone+Br.{.etul co
Sq Ft /217? ? Valuation 310 00 -
Chimney MA4. Fireplace /
(Kind)// (Number
Int Wall Finish nit -,..)A//
Foundation Const..
Sit ate
Total
Ext Finish C:a:0
No of Units Bedroofns
A _ _ B_ Quern-
~a*.;..„ PLOT PLAN
Draw sketch with dimenditns.,sbowing: (I) 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-
teE and water supply lines.
m
NORTH RESIDENTIAL - COMMERCIAL
t•
See -e
PID f p)Ari
REQUIRED
Plumbing Permit
✓ n Heating Permit
• Sewage Permit
ti
/ Plany Received
Plans Checked
Plans Returned
Plans Picked Up
Piens Mailed
a. 9 q
SOUTH
r
I heretijf0 mem 6 itted' c r>d there are no other structures atetlon,.Caie 'Property, except
as shown h /y 76 G t^.
Omer or Agent „ Date
A LAND USE OR STRUCTURE'PBRMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
ThiJS IS NOTA PERMIT. e
C9;44-0 ` DO NOT WRITE BELOW THIS LINE
Your street address will be 1 / lot 6 Tie 49'. t - ¢ /% The zone is
CITA
Sewage Permit Number Issued Building Permit '9142 --Receipt / i /
Remarks —11
Form 523 Bldg. Coda
40/\
"4/
MAILING ADDRESS: P.O. BOX 32
E. 18321% APPLEWAY
GREENACRES, WASHINGTON 99016
•
1- 3'?1 dal% 3 `74 y e 0,.1 Es, A/o, 5.