1976, 07-09 Permit App: L4638 Residence/
Clnty of Spokane. Wasagton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920165 0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6
GENERAL REQUIREMENTS PERMIT FEE
FERBIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an
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.
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 49.235.
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
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.
mOVINO 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,�y�THIS LINE � gQadG,
Name of Owner Y ' m Address t• % PhoneY& ' O Si$'
Architect Address Phone
Engineer Address Phone
Address Phone
1@g 1 esaiptia� of Property (Give complete description from deed. tax receipyt,,etc.}
oZrL' 3, ,&,.»€, /F ?�!lyto.J *6 -Dia-ietQ' o44Va—Aso 3
Contractor S/ M t✓
DESCRIPTION OF WORK: New i/ Addition Remodel Moving Bldg. Zone Fire Zone a
Size of Lot /SYF. 9. F F X ago
Stories 2 Dimensions 'v X �r
Roans Bathsa 7F II art ort
Sewage System Cret''t cons{ �''t'
(Fr.. Conc.. Br.. etc.)
Total Sq Ft rt. 9S Valuation 64, rob
Chimne yrn�
Basement Foundation Const. '-O y Fireplace
qq��__u ,p(Numbaegr
H S Q 1u T n IR f aAIL-� E Finish TI—ii Int Wall Fah flit /-'�f
Heat. yste �y Type
o 0o IryP� xt.pp
Use of Bldg. P `s i%4a/ e 71.4.4 ,41- i d 0412
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.
No of Units_ Bedr ms V
NORTH (RESIDENT' —COMMERCIAL
SOUTH
State License No.
D8 -Ba -l -?e/3/ 3
Ind. Ins. Acct. No.
3 Vs' .5* 8,r
REQUIRED
Plumbing Pettnit
Heating Permit
ysr Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certifyinfer on submitted is correct and there are no other structures located on this property except
��
as shown. see,9
✓ .yrs.e.an) 7 --11E. - 7 L.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMIT.
I T.ut� 344.4A)
DO NOT WRITE BELOW THIS LINE
Yom street address will be /08056 e,%TLf, "t.r>� me zone 1s ,
Sewage Permit Number Issued Building Permltol !/ ;7p Receipt IRS )' Isrsued
Remarks
Form 523 Bldg. Code