1976, 10-28 Permit App: L6005 ResidenceCanty of Spokane, Wash!gton N'
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201.
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .t$IeL•m
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 44235.
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 OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or Yate
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
99014
Name of Owner 4 I' t, Address PO 1S 2 Phone J2 a -i 9 6 7—
Architect Address Phone
Engineer Address Phone
Contractor Saae.tet Address
Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1 /74 4 ft 7 — /SCJ ri
L n f to ar /o r k- / 'any-, n., f}° .=L6O Koa�r�
DESCRIPTION OF WORK:
Size of Lot
Addition Remodel
Moving
ewwge System
Stories _.Dimensions i
Rooms 6 Baths, yJ"L Basement +t,k I.a% Foundation Const.
(Full. part. none
ala XT X 3 e X Zi A'
Heat. System
Use of Bldg.
F A rF/* cType of Rooting Est Finish
PLOT PLAN
co,._9,&
/13°
Bldg. Zone 2Fire Zone . v
felt# Const. F.E
I Fr.. Conc.. Br.. etc.)
Total Sq Ft 5.Qon Valuation Tj non c
Chimney Fireplace %
(Kin —/ (Number
Int Wall Finish Clotr U
No of Units 1. Bedr s 7
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; (B) location of sewage Sys
tem and water supply lines.
NORTH RESIDENTIAL — COMMERCIAL
Pk1 As AIt<kg,
SOUTH
ta
N
H
State License No.
("IK'
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nformat submitted is correct d there are no other structures located on this property except
Owner or Agent7 • IQ -
2 Y-?�
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
ITour street address will be - /( ? / - y
e zone
Sewage Permit Number Issued Building Permit 'Oc3 Receipt
Remarks
Form 523 Bldg. Code