1976, 03-05 Permit App: L2877 Residence, Garage, Deckj
Ipolane, tliajIgLn
T, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
LAND USE OR STRUCTURE PERMIT
PERMIT FEE
and use or structure permit is required by County Resolution to erect a building or structuref any
kind or alter any building or structure already erected, or to change a land use. Construction must conform wi h 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 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 land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELO, THIS INE
Name of Owner Address
Architect Address , Phone
Engineer J Address Phone
Contractor /TX( -- Address Phone
Legal Descripti,on of Pro rt (Give comp des iption r m de d, tarcel t, a c) ��ie--/t//w 7,5-442 ..tel/
Phone Sac! d°4(O�
DESCRIPTION OFK: 3RK: New Addition Remodel Moving Bldg. Zone_ / Fire
!/'� Sewage System Cons Co c., Br., etc.) �/
Tota Sq. Ft 0 Valuation1�%
Chimney Fireplacemi
(Kind) (N ber
Int. Wall Finish
o. of Units_ Bedrooms
Size of Lot
O�XL-1v,
Stories
Rooms
Heat. System
Use of Bldg.
Dimensions
s a-' Basement
Ba
( Fu( I, part, non
�/ T pe of Roofing
x 7o
Foundation Co
E . Finish /
AP l 40%
`rtef 4 VJ i I/
Draw sketch with dimensions showing: (1Y 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.
NORTH
RESIDENTIAL _-COMMERCIAL
cert
Owner
SOU TH
REQUIRED
Plumbing Permit
11 Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
2
rmat bmitted is correct and there are no other structures located on this property except
-�1 7.%
or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9 ,,- y� :' & _ / DO NOT WRITE BELOW THIS LINE
Your street address will be 1 R �. /LLQ • % The zone is
Sewage Permit Number Issued lding Permit Receipt 405 -40.5 -Issued
Remarks
2-3' . — /
21.-4"
—
X-
.3 51
-
/8'
900
aA1-.
4,
/
2 2, -0
T= 2c
R= 20'
1/ k