1975, 07-17 Permit App: L0895 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 v
APPLICATION FOR LAND USE OR STRUCTURE PERMIT (-4S/
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. Aland 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 4.7.235.
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 dedications.
APPLICANT FILL IN BELOW THIS LINE 31 R
Name of Owner s ! n1 2 e moi/.' 4.es Address �d� o --',"c2 A e 7 9.2
Architect
Contractor
Legal Description of Property (Give
% c
Phone
�g ineer
Address
complete description from deed,
DESCRIPTION OF WORK: New v Addition Remodel
Size of LotFF--A2 '7 ' 765—
P
Const, i- q-,,, y Dimensions /. F. Y H
(Frame, concrete, brick, etc.) _
Rooms 7 Baths —2Basement ) ' /1 Foundation Const /9eiy0 re /2 Chimney /9"-e e' Fireplace _7
,p (Full, part, none) (Kind) (Number)
Heat. System {�-, /' Type of Roofing /9i='Xe Ext Finish Gvr, rr-/ Int. Wall Finish 77,-., city//
oe
No. of Units _/ Bedrooms _s_12._
Phone
j✓Y,�i'� Phone
tax receipt, etc. )f« $\ - 0 'J
Moving Bldg. Zone / Fire Zone
Sewage System C^ -, 77r Stories
Total Sq Ft .-7-7 G 4/ Valuation <//. c, o d
Use of Bldg. /.- !r! r'
Garage or Carport Attached a c7 ' 7;;....:t r .7 /� o A"„/
P
Pnvate Deta hed
��;`___
� =.rte=.,mY- _ -� �- _
Draw sketch with di,-,sions showing: (1) property lines; (2) street Or road 1l cations; (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 cert
as shown.
SOUTH
i1'y information submitted
State License No.
.7,7- a/ /%9 5_3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit !-'///ersc,e./
,w Heating Permit
Sewage Permit r. e s.4.4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
//
Owner or Agent°
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COM MENC_ES�
THIS 1S NOT A PERMIT. (\ ["��
(97u^ D • OT W TE BELOW THIS LINE
Sewage Permit Number Issued Building Permi e zone is
Your street address will be
Receipt C( Issued
Remarks u `
Form 523 Bldg. Code