1975, 09-29 Permit App: L1651 Residencectnty of Spokane, Wastlgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
7 o)
DU
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 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 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 permitis 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.
%i APPLICANT FILL IN BELOW THIS LINE' ,J/ , . ,tiy«.99zo(o
Name of Owner GOY- (i.-21.LA-p- Address /O i��i (� n .3��C, Ltiote. Phone qg a 9 g
Architect Address Phone
Engineer - Address Phone
Contractor OA -it Address
Legal Description of Property (Give complete description from deed. tax receipt etc)
4'?z�j 4.fA Phone
iL/44-A —2.yas
/.-27 .s R3/ -/r / 4)1.4.42 PL ci/n .a., ii : dL «4
DESCRIPTION OF WORK: New ;DC__ Addition Moving Bldg.ton Firer3°nea
X'10 t pponst. i.VJ/'' ' -
1Fa, Conc., Br., etc.) Ao
FtVra'luation ;j. -571//i1
Chimney 1' Fi enlace ,r,
(Kind) L'
(Number A/
Int Wall Finish swan
Remodel
Size of Lot sr 6; ) / Sewage System
Stories -_.Dimensions 2&' X .41�y r-�1a. Total Sq
Rooms 6 Baths Basement . 12-±00 Foundation Const �
,(' (Full, part, none)
Uset. System(
TypD of R Ext Finis
Use of Bldg. nC!//-Q ,'All.
0 0 r�¢ !
ifete t.( iva...Wa - PLOT PLAN
No of Units _ Bedrooms 3
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.
-1
NORTH
RESIDENTIAL - COMMERCIAL
N.
SOUTH
I hereby certify in or tion sub
as shown.
to
0.44
Plans Received
iN Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
State License No.
2a3 -v/ -//R77
Ind. Ins. Acct. No.
7-23- 76.
POT ON F/c-0
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
s correct and there are no other structures located on this property except
29-75
Own. o Agen Date
A LAN7USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT A PERMIT.
(9 AC 14441.11,
DO NOT WRITE BELOW THIS LINE
Your street address will be j 2 2 1 yl , 151.4.1-� / The zone is
Sewage Permit Number_ Issued Building Permit t% /G 4 fReceipv'n'%t(" Issued
Remarks
ilP..7.Cv4 A1. z c
Form 523 Bldo. Coda