1976, 06-02 Permit App L4146 Residence, GarageCanty 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 structuKe`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.
WallER. Water supply must be approved by the County and State Health Departments. Where work on water connections laisturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Offic.
1EWAGE 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 BELOW THIS LINE
Address ,�� �,�. �� 1��%� -Rt Phonelt/A t —%.sd. �y
Address A / ( Phone
` Address Phone
Contractor �t� !� �4� # �f Liz Address /1/19, i�!(o �/�i✓. .$ i Phone le,"4 G —7—'„ c
Legal Description of Property (Give complete description from deed, tax receipt, etc)
..CAS 81- /C-rd::FT— nlsr ?,_,L= L4eT to � �E-�`7- d 279 / S'
Name of Owner,
Architect p`�/977,*--
Engineer
mFr 7^i¢ T ate' � S �: "TeS.9. fitve
DESCRIPTION OF WORK: New
Size of Lot X X /---9
Stories / Dimensions
Rooms Baths Basement / Foundation Const
(Full, part, none) �
Heat. System 1. 0, Type of Roofing/.t.7/A a5 i Ext. Finish % /- //
Use of Bldg. e,4i'.4-' /i j1-07 L `r •/Li/-24 /7 6' '
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.
Addition
/3
Remodel
,Z
Moving Bldg. Zone / Fire Zone -�
Sewage SysteConst F'/e
(Fr., Conc., Br., etc.)
Sq. Ft,Valuation--3
!r
Chimney Fireplaces .��
(Kind (�Gumber
Int. Wall Finish
No. of Units _ Bedrooms
Total
m
to
I he
as shown.
NORTH RESIDENTIAL — COMMERCIAL
SOUTH
ify information submitted is correct and there are no
State License No.
z.
Ind. Ins. Acct. No.
2.2 4- .
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
^ ~� - " c1
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
2,c
''LL
Your street address will be ' / Y� C Vt - l i (-'z
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
e zone is4 4"t2l
ceipt c".� c' / Issued
Form 523 Bldg. Code
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