1976, 05-28 Permit App L4070 Residence, GarageSize of Lot
Stories
Rooms
Legal Description of Property (Give complete description from deed, tax receipt, etc
exc. 2LY 5 ft. , L t. 16, _iQ_
, ty of Spokane, Way 4ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT •
it --��--
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 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 Sta e
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
Stephen G. Pettibone 1 r _ a
Name of Owner Address- Phone %26 26v
Architect Address Phone
Engineer Address ^nr j Phone
M. i n //7/' 2 C n
Contractor Andrew 1'.. Terri � ,c:�t,r_eti_.;; Address - • � • � - = - �� � �- Phone %24'>7��
Cc,i ain .. < 1i i __ to Greenacres,
l -/[ ^Fr -I /�29
v'l;)
DESCRIPTION OF WORK: New :; Addition
fr
Dimensions - .; C.- cr- i ,-^ -'
Baths - Basement 71.21
1„,.
Const `''
(Full, part, nonce—L, , A
T eofRoofi -,• _u -- 1-
YP 9 "� `= Ext. Finish �--'1'
ir'en.. ;it,1 do abit attd. arams:e
Heat. System
Use of Bldg.
Remodel Moving
i t
Bldg. Zone Fire Zone
Sewage System "tic Tani onst. '
1 , n� (Fr., Conn Bi- eiti5',l,
Total Sq. Ft' L Valuation ., • - "
Chimney D1"_�1'' Fireplace
(Kind} (N.imber
Int. Wall Finish r ' y
No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
m
to
NORTH RESIDENTIAL — COMMERCIAL
m
to
-i
SOUTH
(3) location of existing anc
(6) location of sew ge.sys
P/// ' 7 �'
State Licens N
AN—DR—EM—T25& K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structun
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
w-744,a44 DO NOT WRITE/ BELOW THIS LINE
Your street address will be / PO L�} 9 61(,r1' e t, I -4
Sewage Permit Number Issued Building PeYmi
Remarks
Date
CONSTRUCTION COMMENCES.
s ocated on this pr•serty except
it
7,
The zone .is 11-6. ► '�
7,74.-
Receipt /�- Issued
026
Form 523 Bldg. Code