1975, 08-25 Permit App: L1296 Residencefir'
0
flv County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ga
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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 OP 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
Address /4/1 --�Y7 - Phone ^`Arl—A<L1:4--
Address Phone
Address Phone
Address Phone
anyan
e
Name of Owner
Architect
Engineer
Contractor _ • e/%`''Lr'
Legal Description of Property � / complete
1 !C ,e
ascription from/deed, tax receipt, etc.)
//J r/ / /m Nn /`t/�c.�C;
DESCRIPTION OF WORK: New / Addition Remodel
Size of Lot /r7C / X I/O' AC -A -a t41 -s-)
/ /°%
Stories I -I-Dimensions
Rooms .C__ B,pths / Basement %3c, / Found
(Full, part, none
Moving Bldg Zone / Fire Zone r�
Sewage System-.a././S1--.--11-1S,onst 74- 4 01.-971 d
(Fr., Cdnc., Br., etc.) p�
„�� .��� rF L'✓ �� /x r 1 �r/ JT,otal Sq Ft ���() Valuation J �h"A \
ation Const. (lzi7/e /' n',,^ , Chimney Fireplace 1
(Kind) _ (Numbe /gyp/
�Ai. E t Finish .-4—/ �� Int Wall Finish �///
IAD
PLO/T�LAN
operty lines; (2) street or road locations; (3) location of existing and
nes and streets; (5) dimensions of buildings; (6) location of sewage sys-
Heat. System
Use of Bldg.
Type of Roofing f "7%
f'
�-
q&U7 _Qa b5 A.
Draw sketdh with dins showing: (1) pr
proposed buildings; (4) distance to property 11
tem and water supply lines.
rn
H
J
NORTH
O - No of Uni s _Bedrooms
( RESIDENTIA COMMERCIAL
SOUTH
I hereby,pertify information submitted
as shown.
t_ absuc_.
Owder or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rw Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
e y5 -
Date
A'LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE /��,
/Y/() t `X
Your street address will be ���/ /��-G)� The zone is - ///etSGe.-77.W.
Sewage Permit Number Issued Building Permit j0.9C-, Receipt 7,(7 Issued
Remarks
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APPROVAL' ONLY
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