1975, 09-05 Permit App: L1584 GarageCounty 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 structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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 onwater 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. lIn 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.
Name of Owner ' �.KQ � �p• ,.� / Address . � � i rJ !� l - " � �Y--be2=�'.D• . � Phone C%^
Architect
Engineer Address -��" "Phone •'
Contrac :r - . ../_/.. "%!,.'Phone
J, q o
Legal Cescription of Property�Giva!)complete descri•ption from deed, tax receipt,'ete,) '"�'^� S".7—"�'00'�'"'
1 {! �,^✓'yam ' �%�7_0: :'r.. •,. - '-lf: , . '.i
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't_.,i11!n;,?.',_:niw'-. .5:{Y :'.,.i .yam#'US :�:: r3 ,t Tyra s::rtC�;�
. -' ,
DESCRIPTION OF WORK:-New`"/'Addition Remodel' Moving';" Bldg., Zone Fire Zone'
„. Cr Sewage System” . "^---"-• -„_
•-:. -' ,;.K„".:' t. .,.i. J” _ :.. Fr.. Conc., r.,'etc.l^.W ":t i
I.
Size .--j •iLr:'C3•y',-.r-.,-s- s_.....,. '•••'). 8
Stories V Dimensions• ' .- V'�-• Total Sq, Ft '✓ �'-' s' Valuation'. ;,w
I Rooms Baths Basement'"' .`:'r Foundation Const. e '- - =- - -t' -' Chimney Fireplace Fireplace •
-
(Full, part, none). 1" ' •G.,i.� %a+ s. _. + . Kind <
'" � c `:;?a'N'_: `,.. ±tf .3jri�;,:, ii . (Kind)”, j:.•':i_>f . (Number,- `.
I Heat, System Type of Roofing ••••"7"i-i--e---i, "» Ext -Ffinish' m``1- '�' Int Wall Wall Finish '
Use of Bldg.. :'U✓ _r/ / df ^ <._�• G --.."""''...r ``i''`., r. - _ .. x No of Units Bedrooms .r .-. __
:: PLOT PLAN.,:;,---- .
Draw sketch' with dimensions showing: (1)r property lines; (2) street Tor 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.. - .:tf .' ?q,_
NORTIL
l 'r) a C h Ill 1
State License No.-.
Ind. Ins. Acct. No;
REQUIRED'
Plumbing Permit "
m ' Heating Permit •
D
Sewage Permit
tn g
Mans Received'Plans Checked' '
Plains Returned.
Plans Picked Up... -
2•
p"
Plans Mailed •••t+:'l...=n;
SOUTH
I hereby certify information submied
as shown...-...+.%:•
submit-
ter.,
7.>'^t
V Owner or Agent- • i• r,,`
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION' COMMENCES.
is' correct" and there 'a no other
tructures located on thisproperty except`
>' THIS IS NOTA PERMIT.'
DO NOT WRITE BELOW THIS LINE:.:
• '
Your street address will be p/
ezone
is
i
Sewage Pe it Number _ '�'•" Issued
''Remarks i_ -Y : _11-2 "t.' f" `�`✓✓�V ' e• --2..l X__,- ,�
..- <-1•<-f-.-�C�. by r%'_.. - /_.._,:, — --.- ./
2 U r\' ,,t:rw.• '(4 ( .. .. .
.> It. a:
:7����.1 U�„r_,,-�- �-7/.Ij M.:E-_ 0_, R ;A: Nf-tY'
Receipt / f %. - Issned' '""" '
� • Building-Periit 3 jW•
This copy must be presented°
to the -EnvironmentalHealth-
Form 523 Bldg. Code"-`
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Permit