1977, 02-22 Permit App: L7059 ResidenceC+ty of Spokane, Waskitgion
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 II -
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 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 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under mast circumstances, a set -back from the front property line. of at
least 25' 1s required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required. (f`
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 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 laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner
Architect
C14'2r� 6
(,41CPCO (OAJZ77PUCT614) Address /OBL/ e- a.lm
Address
Phone
Phone
Engineer Address Phone
contractor «J'aegO g5ruT3fzcicrinf.J Address /0874 C 26 Lel Phone (ZS 8934
9Ze-efr&
Legal Description of Property (Give complete description from deed, tax receipt etc )
tsr 4, 5loc(rC / , JnYlcoNo i_ —"NA ., AJC. — o4{ •Z 1-c(
DESCRIPTION OF WORK: New ✓ Addition
size of. RC'The 130..
S4.
Stori
Remodel
Moving Bldg. Zone L_ Fire Zone 77
Sewage System Const. FPCAw•if
conc. ., etc.)
mansions oP'J-X 7- — .2— X�4 `/ O.q /0 h(/z— F C B
T Total Sq Ft. yaFireplla c& a \
Booms Q Botha Basement Q_ Foundation Const ��T'RIJL Chimney ,(� / .
a Bather; Pert, non WS
Camairtit. Finish
rt Y t}Rind) Fireplace.
Heat. System
Use of Bldg. p,A No of Units _Bedrooms
"-12-4).,PLOT P N420 r'
Draw sketch with dimensions showing: (1) property lines; (2) street or read locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings'
tem and water supply lines.
1
(3) location of exi ting and
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ate of:
ewage sys
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NORTH
RESIDENTIAL — COMMERCIAL
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REQUIRED
and sPlumbtPermit 1C
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located an this p operty except
as shown. ' '
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOTWRITEWRITE BELOW THIS LINE _Xis /,j�/_���®1
Your street address will be' c / tom'The zone is -f^/' V `-"—��
Sewage Permit Number Issued Building Permit r Receipt _______" Issued
Remarks `�7-
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