1975, 05-28 Permit App: L0248 ResidenceAPPROVED AS NOTED
Spokane Cpunty 'Idg, "de E:)# h
;-- Go my of Spokane Wdshmg#on
Date
EPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
00
N FOR LAND USE OR STRUCTURE PERMIT /] g
GENERAL REQUIREMENTS PERMIT FEE �t
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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subjedt 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. Wherethestructure 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
C\/
Name of Owner
Architect
Engineer
Contractorq.,n
gal Description of
Address
Address Phone
�� Address / e Phone / I /
(--e-tke-e- c., Address-d�+�'_�/�)_ �j /Phone Q .2 7 - 7 V 6 7'1
Property (Give omplete descriptio from eed, tax receipt etc 1—n-�r' [7-v e+--l.�-�
,LF / �2 t4 Cl,0' / .1--/ 5'40 - .,F'o / .
6
phone Q V -7V67
DESCRIPTION OF WORK: New Addition p
Size of Lot 0 6 "A 1
Stories _if_ Dimensions G8 x<2..7 a, a •
Rooms Bathsn Basement Foundation Const
((Puil, part, no n ,,�,, ',,
Heat. System �-�-c+ tr'V Type of Roofing t.� 1't"�Y Ext. Finish
Use of Bldg UUU
Remodel
Moving Bldg. Zone / Fire ne 3
-Ar,
Sewage System .//, cQonst. er (Fr._. i
�� c., r., etc.) do
Total Sq Ft (3/ _i Ki Valuation v
Chimney Fireplace /
(Kind) (Number
..
No. of nits _Bedrooms Ai
♦
4
ie.__1
it
' F
/ Draw sketch with dimensions owing: (1) pro
proposed buildings; (4) distance to property 11•
.tem and water supply lines.
NORTH
PL • AN
y lines; (2)
s and reets; (;.)
Int Wall Finish
eet or road locat ^ s; (3) location of existing and
.imensions of buildings; (6) location of sewage sys-
o J4//(
v
SOUTH
State License
REQUIRED
Plumbing Permit
Heating Permit •
Sewage
Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures
86 2)99.
Owner or Agent
Date
located on this pr
erty excep
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(3-„,0 DO NOT WRITE BELOW THIS LINE \\
Your street address will be OC 0 '7 L. r f/'0-rTu" pThe zone is
�/,j•L�j: /I
Sewage Permit Number Issued Building Permi .-d..�n B¢ce iD£'_ Issued
Remarks
...EGA
44.
'Form 523 Bldg. Code r
114,