1975, 10-11 Permit App: L1788 Residence60
County 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 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 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
whicti'are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
//ti///S t JAN'
%J APPLICANT FILL 1N BELOW THIS
LINE e(�
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Name of Owner /lN S /FAY Address'/ 441 .-�o L-O/ON/AL f�� Phone 9121- SD 97
Architect
r--
ArchitectLA912SOT, Address .-. i&<-�✓'�� Phone
Engineer Address Phone
Contractor ion -ye" (i,t iorc4#/�eS Address?/4- ( i, , ,,n -L 2)/L Phone 9 i- f ro iii
Legal escription of Property (Giv�e complete description from deed, t x receipt, etc.)
illy /3 E3/a cA-11 1
�T
60//4/73/ a 'it?. ty S74.4-iz oft 424 1,4 .
YP.P/4L�.4/P ie
(71.14642-3/ /s
DESCRIPTION OF WOW New 1, --"Addition Remodel
74'3 X hag_9)_
Size of Lot
Stories Dimensions
Rooms Baths 2- Basement
(Full, part, non
Heat. System C Type of Roofing
Use of Bldg. 421, �Qy.t..Lt
11'_ PLOT PLAN
MovinMoving Bld . Zone Fire Zone ��
Sewage System -� Const. -Z-4,—"-c----
g
C d' (Fr., Co c�Br.. etc.)
Total Sq. Ft luatior�33i 90eF. ni
Chimne Fireplace /
(Kind) (Number
Int Wall Finish -e-{
/ fy,(�
No of Units L Sedrootfis 3
Foundation Const
E Finish
941 " , {-
tem
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.
NORTH
RESIDENTIAL - COMMERCIAL
State License No.
22.3 /- jq3 i a -
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit -"
Heating Permit .1 /WOW a
Sewage Permit I%1%W
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert 'Ty Information submit gd is co;,reat and )here are no other structures located on this property except
Owner or Agent
as shown.
Date
/07/-7S—
A LAND USE OR STRUCTURE PERMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
4,(-1 -7/11,641.9_7D/O NOT WRITE BELOW THIS LINE
Your street address will be / , / tr o p ae 4 The zone ,is" / �� • t( / �=V%�_
Sewage Permit Number Issued Building Permit //7N"n
Receipt ! t/% Issued
Remarks
Form 523 Rhin Cnd.