1976, 12-22 Permit App: L6568 Residence3
A. •
County -of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
0-
-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 47235.
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 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
2' 24 ,2 , qq ,o(0
s.�R19 r;hQ3 Phone 9.2 RS83
Name of Owner 1.7.3-c.- Sc L l e D..L. Address
Architect S4 vN a Address Phone
Engineer '5-41'A[. Address Phone
Contractor F/ S Cory4eNc AI a+. Address S 919 1pintt Phone 9a 8 -RS in
Legal Description of Property (Give complete description o •sed. tax receipt etc 1 1-n4 1 o t I( a
DESCRIPTION OF WORK: New X Addition Remodel _
Size of Lot 1 �%!�1 Sewage System r ¢c]-�Cponat. FBr . e
II 0
/oke 6CtlC Lpr.. Conc., Br., e�c.1f�
Stories lCiimensions - klb •T�- :'.11 Total Sq Ft Valuation 9_
Rooms Baths Basement b0. Foundation Conal rOh GM C11 Chimney /replace' a
Full, part. none (Kind) (Number
Heat. System F'A El telt Type of Roofing Ext.x!t.1Finish I ` I Int Wall Finish oyvrW 0.l'
Use of Bldg. S•nO lO Pd 1Y1;1y Y'U; PAee @wtgt No ofunitsj.Bedrooms 3
P (( 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.
Moving Bldg. Zone S Fire Zone J2Z
-1
ti
NORTH
RESIDENTIAL ,T COMMERCIAL
223 -0/ -
See A{4aC Let
State License No.
RA -SC- 0.4* -Its 47 J,R.
Ind. Ins. Acct. No.
-/19-77
PuT aN Pi«
REQUIRED
Plumbing Permit
to Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. yo alt
, �_ 1 a—aa -?6
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
61 -no fifAix_ 60 DO NOT WRITE BELOW THIS
(/ S�Ob LINE
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m
Yostreet address will be 4, SO7 E/7i�/an at/(4The zone le
Sewage Permit Number Issued Building Permit _ Receipt I Issued
Remarks
orrn 529 Bldg. Code
no'
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