1975, 05-17 Permit App: L0175 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201y
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 33._°'
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 canter connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from.tbe 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.
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APPLICANT FILL IN BELOW THIS LINE
NaTe of Owner_ 1�. S -�-'t� C- Address °) OQ �6i`�4`r� Phone TAS -a.1311
Arg'hitect Address Phone
Etineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete clsscription.from deed, tax receipt, at %)
o -1C 1f. gtU1eW aLtt5 S `F - /2!iJ
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DESCRIPTION OF WORK: New V Addition
Size of Lot go/x/40 t
/+
Stories Dimensio/ns �i`�
Rooms Baths ( Basement ?�.y� Fo
(Full. part, none)
Heat. System %T' a of Roofing
Use of Bldg. �-Sl %art,.Q-
Bldg. Z ne ( Fire Zone 3
Sewage System S 1 C Dost.
SFr., Conc., Br., etc.)
Remodel Moving
Total Sq Ft a Valuation
undatio Const i ArGre. Chimney t Fireplace
m
(Kind) (Nyber
PN -Ext Finish a+t Sl •n Int Wall Finish �y(t1shh, het.
No of Units.. Bedrooms
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
I hereby
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permits "--
Heating Permit ""r3^
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked U
Plans Mailed
submitted is correct and there are no other struct res located on this property except
5N1, 5
or Agent Date
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A LAND USE OR STR
TH S,IS,NOT,A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your s� address will be 300 1 X/' &,:t6
Sewage Permit Number Issued Building Permit/0 /7j
Remarks
The zone is ti
Receipt/71; / Issued
Form 523 Bldg. Code
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:.;Pore/INE Cnu,/vey, 44/,45/71.