1976, 09-22 Permit App: L5593 Residence Codnty 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.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturb,
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. [!
l SET-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of ai
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 BELOW THIS LINE
Name of Owner CFI��E //D1 763 .2'3C. Address �, 9g03 SPPl-1Q/.L H/06 Phone 9 V—/919/
Architect Address Phone
Engineer Address Phone
Contractor ri€A,UIC rY1 lOOEtJ Address E. 9' O3 SReg9LA..k_ Phone 9Z8—/99/
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
140T 13 , 1:31,OC:.K I , / � 11—E31—E4� MAN 1 t /400 Hn D,3,
CfWi)T ) IJf. SPDKAR`E. crrAre
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone '3
Size of Lot 96 X /oZp Sewage System S. / onst. CRArn�.
Stories _Dimensions Co V '7'O i_LL`� .4v2,-,1 A Val, Lionuon Br.,, etc.)0
/ Total Sq. Ft. ��l`Jl� Valuation 2y�,j00
Rooms lD Baths / Basement Foundation Const. AJC-K.k TE A30A- /'3O/J t_
Chimney Fireplace
(Full, part, none (Kind) (Number
Heat. System 2/�Lj Type of Roofing eprry). Ext. Finish Ct)U()Q Int. Wall Finish ?(
Use of Bldg. /T.1' RFSI CEt. CE ti)/T// SiolepT_ No. of Units/Bedrooms 3
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.
NORTH RESIDENTIAL — COMMERCIAL State License No.
—C/•— ///,:5
Inc. Ins. Acct. No.
,89._ S9c
CsFE .A7T4 /, o , PA14.)/A. S)
�J REQUIRED
Plumbing Permit rnitEL/Fib
rn Heating Permit �l> G'.D
Sewage Permit ELL ji., lQDS7
1
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
qE/0/E-
ytvvi
Owner or Agent l c°(\\rA LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREM S FORE C•NSRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be j=' 7 f% ,: (.., / The zone is '
Sewage Permit Number Issued Building Permit S 'C''/ Receipt ,} ', f Issued
Remarks
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