1975, 08-15 Permit App: L1215 ResidenceCounty 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 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.
AiOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ighway, clearance must be obtained from the County Engineer and/or State Highway Department.
j 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
L)
Name of Owner 13kA:.4./d FSL-G� O.)4 i Address
Architect Address
Engineer / Address
Contractor 1)/y�Fi�'(4./ W(''n t1J Address
Phone / -2-r-7' :1 -2 -
Phone
Phone
9.4-0'7 £ Phone
Leal Description of Property (Give complete description from deed, tax receipt, etc
Legal r L 4,,,c -K j c 4: t.,Z/ oN
.3 .S 4 y3 /V 0 2 -
DESCRIPTION OF WORK; New tV.Addition
Size of Lot /35 )( /e
Stories Lj�Dimensions �` ivy
Remodel Moving
Sewage System '7'Fc._
Total Sq. Ff.
CEi4 ,,fl
3
Bldg. Zone / Fire Zone
Const.
Conc., r., etc.)
Valuation - . (1900
—d9X'.I
Rooms Baths 2- Basement'] r 41- Foundation Const.
Full, part, none)
Lit ..: Type of Roofing
Heat. System
Use of Bldg.
C7 -0. -ti -
Ext. Finish
Chimney
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
(Kind)
Fireplace
( Number
Int. Wall Finish 4s4L6^'%-
No. of Units _ Bedrooms
PLOT PLAN /'C f � i41 ur rn
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL — COMMERCIAL
I hereb
as shown.
State License No.
.,42-3- b/ / / 7 7
Ind. Ins. Act. No.
02-/2/776
/'FrJ ,4 (_fel
REQUIRED
Plumbing Permit
w� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
information sue "s correct and there are no other structures located on this property except
/1,14, 73,1,
Owner or Ag
Date
l� A4' ?L
A LA D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
74J DO NOT WRITE BELOW THIS LINE
Your street address will be Ai. -S 2 0.S dna oL /I/19A..
Sewage Permit Number Issued Building Permit
Remarks. , yf ro. Q,., j� e��= y
The zone is j/ —
/ 2 f < Receipt D24 Issued
Form 523 Bldg. Code
+, :dr' 5
-�o
f . H. A. APPROVAL ONLY
SPO. CO. HEALTI DIST.
67, _.� . ' f
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