1975, 09-26 Permit App: L1620 ResidenceCounty 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 byCounty Resolution to erect a building or sttucture 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 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. 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 enforc ,gp,pnjnts pr dedications.
APPLICANT FILL 114 BELOW THIS LINE -Y C
Vj
Name of Owner
OL- U O At 1 Address
Architect / / Address
Engineer ' Address
Phone
Phone
Phone
Contractor o nr /1/OLI Address PO /30-2 a T3 Uba9Gl4'one S9m»<
/6t
Legal Descriptw of Property (Give complete description from deed, tax receipt, etc.) .�
777 SowyMl //p yd feel 0F7Ae.Il%osin lotJrr4CC- 22 g
(/ 2A S%hhi % /n✓ -7-He Cact n.ly oF- SPot4.-e S7 -60-
A
4S
.A 5//•
DESCRIPTION OF WORK: New 4„,,,..G—Addition Remodel
Size of Lot 1/0 .y 6 - r, 666
Stories .J� Dimensions 7n 2 d
Rooms
Heat.'System /-/�C"%✓�G ype of Roofing rDI?7 p • Ext Finish
Use
Baths 1 Basement 1./�. Foundation Const
(Full, rt, none)
Moving - Bldg Zone / Fire Zone 13
Sewage System /4/v k onst. / eAm t
Fr.. Conc., Br., etc.)
Total Sq Ft /,PO� aluation '3So0000
Co NC /e ��
Chimney t... Fireplace,_ca
,
p /�Jl�SoA/i-'e Int Wall Finish fly?' •✓ Q (/
•of Bldg. ' //�� [ c Si ,'®.✓LG / �w 6c7r- No of Units _ Bedrooms
H. 0-P c),(05-4)13 —//55L/ PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
oposed buildings; (4) distance to property lines and streets; (5) dimens
and water supply lines.
NORTH
SOUTH
'"NI hereby cer, fy information -sub itted
Owner or Agent
as shown. • /
road locations; (3) location of existing and
ons of buildings; (6) location of sewage sys-
m
D
y
fate Licens
.REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
orrect and there are no other structures located. on. this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS � T A PERMIT.,,..,
Wietidtf DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
iBullding Permit
The zone isC12i7
j Receipt li//
O
Issued
Form 523 Bldg. Code