1975, 07-24 Permit App: L0937 Residence• 40
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT S
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 47235.
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
i
�. ,e
Name of Owner r ({,�
Architect Address Phone
Engineer„II Address Phone
Contractor 5d,1.2uA P Address ^ //¢ Phone _
Legal DescriptionofProperty (Give complete description/from�ydeed, tax receipt etc,/1.6,-/-r f G PORT -/g .v/-7._
fl/ • J� ' U -t k or -Z, ,�iLK, 7 - /,G4 .! !iG t4 -t -c it-r.GO . �iee
// -/Q-0Jt.CY�vc(A9�/G
Address %�Z,/1 ( 711/(47 i/Y 4'f ' Phone 9-zie-6 / 3
lJ
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot ?J / '2'»'
Storieus Dimensions eitiegifre,
Rooms Cr Baths / Basemente� Foundation Const
/7 (Full, part, none
Heat. Systemf !: (�Dt.0 ,at�+y-Type of Roofing Odl1G�.
1
Use of Bldg. •ifil'IDJ-, 404 ,ele-gtQ>
Moving Bldg. Zone .../— Fireone i
Sewage System ttiO Li•� Const. '< f' 4Lt
(Fr., Conc.. Br., etc.) e;'
jTotal Sq Ft. Valuation
Valuation led()
0��✓4��t”-•�. Chimp y Fireplace
(Kind) in fff///(Number fin
Int Wall Finish A1.41 "Aran–
No of Units _Bedrooms -7
Ext Finish T ///
PLOT PLAN
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
251
/ State License No.
K–vfv-1-7/ 4E:
Ind. Ina. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hercertify information submitted is correct and there are no other structures located on this property except
g% _ 2/f — 7C
as shown.
9wner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
9/yj-4 DO NOT WRITE BELOW THIS LINE
Your street address will be / 4.:1 %7. f3 taco_! P
Sewage Permit Number Issued • Building Permi
Remarks
The zone is 17,f/fLtCC 9t?!.
,y'
Receipt 0 O6Issued
Form 523 Rlrin_ Cods