1977, 02-15 Permit App: L6971 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT rl'
GEV:InL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or strlii`ivrt-f 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
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 ^^� Jj j� (� v�
Name of Owner (�nILDJL) 61en m � Address A) 6 {� KD . Phone �(cf- Z^
Architect Address Phone
Engineer Address Phone
Contrpctor-`'PAtiN Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
LC) 1- 61(111rc 3 SuL✓Lidearns uTM-y icQOi11(]LD
or State
23 -2S -4f4
DESCRIPTION OF WORK: Neer (Addition Remodel Moving Bid - ZZone Fire Zone i�
)
Size of Lot ( d I h Sewage System 141c4
Q TIC-- Fonst-�t1/ tJ 0
�U 140 4- 4& 4 -' 1 5 !J'r C' C4, 624
Fr., Conc., 999(
Stories 1 Dimensions - Total Sq Ft Valuation
Rooms �_ Baths t Basement IOO Foundation Const i'P+ Chimney aim,- Fireplace
Full, part, none) -T- (Kind) Number
Heat. System "r' !f . Type p -f' Roofing Ext. Finish / 1 "'I 1 Int Wall Finish �2-�
N.
Use of Bldg. I �G.F .�Gi t[i� r l�C'r6-'�-v--4 No of Units _Bedrooms 2_
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2)stree or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
a
ESIDENTIALI- COMMERCIAL
6EC 44 -7 -510,11 -al
I hereby ce
as shown.
SOUTH
t' y� orm�tion sub t
Atte
ner or Agent Date
`LAIC USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS NOT A PERMIT.
111,4120 DO NOT WRITE BELOW THIS LINE
m
N
N
State License No,
Gio -ob --me- 2A 1 DK)
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Par, C' LSt b(J
Heating Permit Af
Sewage Permit EST �1
)W A`Ley
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is cooect and there are no other structures located on this
a -/S -i 7
Your street address will be
Sewage Permit Number Issued Buil ing Per
f1 >
Remarks ` 071.An lnrrai n{� aec)48P�)-r A-W-naa.a
The zone is w.
Receipt 5783
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property except
COMMENCES.
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