1976, 05-20 Permit App: L3951 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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.
RATER. 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 99.235.
SET -RACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 251, 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 OP 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 laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 94 BELOW THIS LINE
Name of Owner � -C �ORs{rur i'ow Address S 919 FTIes Phone Q' 2 -RS 83
Architect, SQvs‘ L Address Phone
Engineer Tn re w. Address Phone
Contractor Sn tM a AddressPhone
Leal Description of Property IG'yyve qSo�z9pIpCto description from deed. tax receipt etc) 1 OF—al
View it; dr Fit'r'i H0.o1:}; 6r1
Fated * .25.-s.Aa-024.5
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone -9
Size of Lot 100 X 14ll Sewage System �LC�o.. C ` rC1 Nt ce
(� Fr., tc. r. a c.
StoriesDimensions T 4 x `30 w;4b ay A ay Ga rag t Total Sq Ft Q Valuation o
Rooms 6 a
Baths 1 Basement FtatI Foundation Const VCO ytCrl! 12- Chimney 111(replace
c Full. part. none) (Kmtll /,{{�� Y(Num r
Heat. Systemf / ec . FA Type of Roofing 1 t , E Finish - Int Wall Finish J/Y`f wC 1i
Use of Bldg. . o of Units/ Bedrooms V
M�9
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.
f
N
-1
NORTH RESIDENTIAL COMMERCIAL
See ckit}acb ecJ
per pIa.T�
State License No.
Ind. Ins. Acct. No.
1
0213-0/- x/377
REQUIRED
Plumbing Permit
to Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informatio sullied ed is correct and there are no other structures located on this property except
as shown.
Jr --2a —26t
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
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(9x rPla'LR36"i
DO NOT WRITE BELOW THIS LINE
Your street address will be i; Ord_ • The zone is
Sewage Permit Number Issued Building Permit a Grit Receipt (25-2„7- Issued
Remarks
form 523 Bldg. Code