1975, 09-25 Permit App: L1618 Residence• ,
County of Spokane; Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 992
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE
0-0
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 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 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.
APPLICANT FILL IN BELOW THIS LINE
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Phone 911"770 3
Name of Owner AN VCL NM -L.L Address tir not. IGA
Architect Address
Engineer Address
Contractor S14 VVI. t'., Address
Legal Description of ProRerty (Giv compl to descf ipti3q from deed, tax re9eipt etc.)
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Phone
Phone
Phone
DESCRIPTION OF WORK: New ✓ Addition
Size of Lot I I O. 114 X (v &O n
Stories LZGDimensions `-3
Rooms Z Baths Z..e( Basement 0, 11,
Remodel
Moving Bldg. •Zon —L— Fire Zone
AC-
-r
Sewage System I dronst. 'rrAtn�'e ,
Fr., Conc... Br., etc.)
Total Sq Ft (7"L v valuation 7 51j a U d
Chimney [�n�y Fireplace Z
(Kindl (Number
Int Wall Finish ' •I Ri:Ly- a )16-6(--
No
16-6LNo of Units j. Bedrooms y
Heat. System
Use of Bldg.
Full, part, none
blec.. Type of Roofing
S/Kyte, j'.tn.1y
1'kN 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. •
Foundation Const
C-tNc.t6tt
reit Ext. Finish
/ 41
PLOT PLAN
SOUTH
State License
No. St
2z —Q/' O5eit
Ind. Ins. Acct. No.
Z(a , y5re
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c fy t formation submitted is correct and there are no other structures located on thi property except
1 � 9/Lf .
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
as shown.
Your street address will
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
Building Permit
1J/
The zone is
ceipt /tit/
±ed
Form 523 Bldg. Code