1976, 09-23 Permit App L5596 Residence, GarageCitify of Spo crane, Was 9ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT !ig�
GENERAL REQUIREMENTS PERMIT FEE ._�J
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 '
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
j. _
Name of Owner 9r/1), r NOmb--, , J 'ZXL . Address . 9803 SPie (.cE Phone 9.2 g -/ 99/
Architect Address Phone
Address Phone
f/P161,1)+k j'y)cQor) Address E• /7021 (i)ELLLSLEL) , `Phone
Engineer
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
(1�ibi)r-) n f S .e/9/(.)F ; STATA Of t.JASH//03T0i0
92 /- 65/97
Or 13 A. OCk 2 , 4.111- F L.E rr)' K Oe ,Inn )77n t_),
DESCRIPTION OF WORK: New X Addition
Size of Lot /SO TkR.
Stories _Dimensions c.? 1'470
Rooms 60 Baths / Basement
(Full, part, none
Heat. System E/6 Type of Roofing
Use of Bldg. b.-ALA 'i ) /
Remodel
Moving Bldg. Zone Fire Zone
ConsCFR
Conc., etc.)
/ '� Total Sq . Ft /3'`/O Valuation �v
Chimney Fireplace �v.J4-
(Kind) (Number
Ext. Finish (,Woo Int. Wall Finish TQ.Jt-1)AI-.L
Sewage System SEPT.
; ��� /y
Foun ation Const eDA ETE-
00 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.
m
NORTH
RESIDENTIAL - COMMERCIAL
SEE A77ACHE(3 lActOtnl
SOUTH
I hereby certify information submitted is correct
• as shown.
gEtOiE HOmEc-, t Z,�, sic
Owner or Agent
No. of Units L Bedrooms 3
State License No.
.233-D/ //,75
Ind. Ins. Acct. No.
/8 9 - 592_
REQUIRED
Plumbing Permit /7iLLgx"L.E-1e
m Heating Permit Thiee_0
• Sewage Permit ,ELLE2 Po)
and there are no other
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISE
THIS IS NOT A PERMIT.
(9- 31147 fj; DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
3EP7-, 23, /Q no
Da e L
CONSTRUCTION COMMENCES.
The zone is
Xt5--.54 Receipt _ S: r Issued
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