1974, 03-14 Permit App: N2269 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE cies
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erecta building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction mast 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
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
which are enforceable through civil action. County Officials can not bring action to enforce covenants or
2T14tA ��� 1-Ipm APPLICANT'+FILL IN BELOW THIS LINE
Name of Owner ^_ vi
L LA.? , 17 �NDCGf Address L %e'e 11," phone '9)(....°9
.'� 7
Architect Address 5 jowly-'r>v'`Z' ` Phone
Engineer 54WI
Address + Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 045 I/Z 67234
on a County
or State
with the land
dedications.
L 0 D pb) -0 7goc) S
DESCRIPTION OF WORK: New iC Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot %'0' X /4,7 Sewage System Sp Tle. Const. F" f""
/ (Fr., Conc., Br., etc.)
Stories ' Dimensions,)'7J C Lk)), 3? t°lrt 2., / 2.41 Total Sq. Ft "e6Valuation S. 4`1 +24'f'
Rooms Bathaasement Foundation Const 4.-.1) ^) i- ChimneynP'� Fireplace
u part, none-� (Kind) (Number
Heat. System - Type of Roofing p j " / I Int. Wall Finish Or t-`-' ( l
Use of Bldg. 1 e.S ) id 7 1 C QG,01 i?k No. of Units—Bedrooms 3
Sot
'Yi
CD IExt. Finish
V t3 t ell 1I /. A' PTPrCI-IEl77
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.
m
et
NORTH
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31)
CrQ
14.7 '
I hereby certify i
as shown.
SOUTH
State License No.
oK DN i=/G
Ind. Ins. Acct. No.
RESIDENTIAL - COM
REQUIRED
etcys
Gt'��
renal
Plumbing Permit
rw Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
3//4/7 9 fat:.
rect and there are no other strut es located on this proper except
/797P
l�
Date
THE PREMISES BEFORE CONSTRUCTION COMMENCES.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE 0
THIS IS NOTA P
•
DO NOT WRITE BELOW THIS LINE
Yo street address will be
Sewage Permit Number
Remarks
M. /3)6) PDLL VAR go/1P 69
The zone is AC�RIctit/ -PIAN
Issued Building Permity\'? L Receipt 76)c l Issued
Form 523 Bldg. Code