1975, 01-06 Permit App: L2687 Residence,, County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE a00
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
Name of Owner ��//i
.wata Addres Phone
Architect Address
Engineer Address/1
Contractor /1 Address
Legal. s�cSrp�tion of Property (Giv complete descrip io from deed, tax receipt etc I
WC/P r '� qES > ' 4440,7"4/11 – aX
_24/A' J60tA' ag Ap y
i/
/1
Phone
Phone
Ph'ne
/I
414.VA 5,L242.4
(4ii peel Ala, ...e7O-' — Q/a 6
DESCRIPTION OF WOR"' New Addition Remodel Moving— Bld . Zonq —/ Fire Zone
Size of Lot 9g X dao ' / / Sewage System FF nsConc. r., etc.)
Pi l r/ 'f a
Stories LDimensions 6r CP
a a2Q /�•fj /'� � ��wp �..iT.otal Sq. F ,ValuatigY
Basement Foundation Const. ( fede t r Chimney Fireplace
(Full, part, none Ar r( rnd (Numbe
Heat. System i . Type .f Roofing ..S— EJ Ext Finieh 2:17• 26/2.13/14 Int. Wall Finish �
Use of Bldg. _fi - —Ilii 2 "as:' No of Units JBedro s
ilr
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 street_ (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
N
( n
V jF t,2j ipoas show rmati submi ted. is correcthere of no other structures located on this property except
SOUTH
State License No.
a/-- 9W;
Ind. Ins. Acct. No.
REQUIR
Plumbing Perm
m Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
__ . _--I—her
yob— /'—' •‘-',C
/
Owner or Agent
A LAN r OR STRUCTURE PERMIT MUST BE ON THE
THI/• T A PERMIT.
11-i,i,i "2/Pint p 0:7Q DO NOT WRITE BI{LOW THIS
Your street address will be al.• — i / ,�/. A .& ` r Ttie zone is
Sewage Permit Number Issued Buildi.1 Receipt Ott "'Issued
Remarks
Date
EMISES BEFORE CONSTRUCTION COMMENCES.
Permit
N
Form 523 Bldg. Code
n
74/4.5-- J;n- / G`,f1e c9R y
/07' ..?o) ,Jlce/ 2 , i yc res7 - /feels % ` /%n,w
x:04.04 )445i1/4.97,N .97`,N boir.4fin , _Twc. / -20 /