1976, 12-23 Permit App: L6569 ResidenceClty of Spokane. Wasgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 d 00
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r�
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit 1s 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 most 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 Off ce.
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 Hlghaay, 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 war must }e
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. T
ROVING OP BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or Stet
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
n�2e-��z�ra g92a6
Name of Owner ��t. /��y�l t. Address //o i% /y-2Leif,,.i, Phone 924 g'sy,S
Architect _— Address Phone
Engineer II1 Address ,(1 Phone
Contractor N An n(. tJ/ex.4.4N/ Address /00 ids e �7y/p�n,✓/.r 49��(o phone gas' -
Legal Description of Property (Give complete description from deed. tax receipt etc 1 PRA-POQt o444/- 94 47
Cor /o r-SG.K a r Z, _P- 2te,G 7
DESCRIPTION OF WORK: New 'X Addition
Size of Lot 9SX / 36
Remodel Moving Bldg. Z�--o�nne��" Fire e 1
Sewage System xta¢as6a_ const. ,A.n.0 A-
y
IFr., Conc., Br., etc.),,o
x.24+- 26 v381--55#67Total $q Ft. A6 �G vaiyanon 35-ooa—
Foundation Const. PM.Aet_ttge.. Chimnayi"+t`w° Flreplace gaff
I n (Kind) nn (�N.w/�n be5{ �n
Ext Finish PO.[C6.f-.ej,.f0 Int Wall Finish/7 '7Y -ern
a No of Units_ Bedrooms 2
Stories Dimensions 12X27]-23
Rooms 'a Baths .2 Besement'cta Q
(t/� (Full. part, none)
Heat. System( XOtt'F,uwA�����Ty ,,//of R�oofing
Use of Bldg. Je0.0 dg<tCL Ydr&, aq.f,
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.
Qztet cxtdc
,plot P
H ESIDENTIA -COMMERCIAL
SOUTH
State License No.
d K o,v F/X-
Ind. Iva. Acct. Na.
REQUIRED
en
Plwnbing Permit
Heating Permit
wSewage Permit
Plain Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here.�yz, ify 1, :t auis correct and there are no other structures located on this property except
as shown -
/ lay/ /ii- ,af
v+- a� •zt Date
A LAND USE OR TR IRE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENC S.
THIS 1S NOT A PERMIT.
OAA 11<4.10-079 DO NOT WRITE BELOW THISLINELIr�// ,,//��
flour street address will be / / l A G rn 4 -7 att Q.d? The zone is >(�-1-/� JAil,/ , 7ArnM dCCd-A
Sewage Permit Nu bar Issued Building Peraf 6569 Receipt Ara f Issued
Remarks
Form 523 Bldg. Code