1976, 04-08 Permit App L3296 Residence• •
Architect
Engineer
Contractor Il1t if
Canty of Spokane, Wash9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
00
CIENERAL REQUIREMENTS PERMIT FEE ._v.!7'-
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 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 6E/V/ g j4.0It tr/ .Z j C , Address I!LJ 4� ��4/�I't6�4" Phone 9 o
Address [il+TF 9''2.e li Phone 24
Address Phone
Address Phone
of Property (Give complete description from deed tax receipt etc )
Legal Description
OCIAtTy
Gb G. . Z K/!rJ GG C3'4 /s1/I1OIf2. J d/344,
�yo,o/t.,.� A;6; Vs v,z - vim' 7• r! /ii
DESCRIPTION OF WORK: New Addition Remodel
jp of Lott 9d'4' /Sty, yX 9.0'a- /513'
Sttiries/7iDimensions .9Z A- 451
Rooms Baths / Basement ([lt-C- Foundation Const C
(Full, part, none //�� �
Heat. System - — Type of Roofing e0/101t./42
Use of Bldg.
Ext. Finish
36 -2-4-
Moving Bld . Zone / Fire Zone
Sewage System .)6 / G Const. ��iirfr
p ey (Fr., Conc., Br., etc.)
Total Sq. Ft O 3 / Valuation 2 4/etSa
Chimney (Ki40 Fireplace 0
71 (Number
�!/
Int. Wall Finish /?-4/LLJ/0L 4.
No. of Units _Bedrooms 2--
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
— COMMERCIAL
;77:4G. Nisfirer S. /-T,
F3 9
I here
as shown.
SOU TH
State License No.
Ind. Ins. Acct. No.
/11 $' 2-
REQUIIREED
Plumbing Permit /f1UEL t-5
Heating Permite0
Sewage Permit fT 4 s/it
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rtify information submitted is correct and there are no other structures located on this
�-+-Owner
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
e / 7‘
t
property except
(,LL ••.• ii AO) DO NOT WRITE BELOW THIS LINE
Your street address will be cee, e2!$ E.�/,91, ,eT •
Sewage Permit Number/'The zone is6/2/
Issued Building Permit ( i Receipt ')/ 6 Issued
Remarks
Form 523 Bldg. Code
7-2.9
22-
7/.`05
760'
3/
70.78
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