1975, 05-14 Permit App: L0053 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 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 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 �Gt
Name of Owner m
T„ A 4 K 1 AS Address w Phone 4c4 .— 1103
Architect Address Phone
Engineer y Address ILAN10
Phone �( �7
Contractor �0Or% " %� t 14.1 s. Address- Po.Qox ILAN10 titialTPhone q2-1•-1163
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
)4�to o -r FF',��tr
Antes °7 Add
es
DESCRIPTION OF WORK: New X• X Addition . Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot �� f I Sewage System SO pi const. r r.
1� p i (�I ( Fr., Conc., Br., etc.)
Stories L3__Dimensions r� i1 r X br c f Total Sq. Ft. 1 f l O Valuation 3. .S-�OQ
Rooms 43 Baths Basement y) 1.1 Foundation Const e -O NCrPk P Chimney Fireplace °i�
t^ Full, part, none 0 (Kind) ( (Number
Heat. System FA Clc�ci. Type of Roofing OYVIp Ext Finish L000A Int Wall Finish z5•tcc4rrc k.
Use of Bldg. R F S (7ir�v a7 --A0 r I�
PLOT PLAN
Nom of Units _Bedrooms 3
tic—r—o��acr— Y �ia-,plc
Draw sketch with dimensions showing: (1) property lines; (2) s or road locations; (3) location of =lug an
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location f sewage sys
tem and water supply lines.
ORTH
-1—
o.
SOUTH
l'I'LREQUIRED
Plumbing Permitn 1,_ S c� ¢ 1
no Heating Permit A d1' M ' ` ```/
Sewage Permit R O1n A A W t V.er
-I
Plans Received
„ Plans Checked -
Plans Returned
Plans Picked Up
Plans Mailed
State License No:
eRa3-01- tglx59
Ind. Ina. Acct. No.
I hereby certify information
susubmitted is -correct and there are no otherlrlstructures[�located on this property except
as shown. 1975-
Owner or Agent Date /
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES.BEFORECONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(1 -4.A.. -711:410 -LO DO NOT WRITE BELOW THIS LINE /)
Your street address will be C2 G / The zone is
. Sewage Permit Number Issued Buil ing Permit b a Receipt 7(,3 V Issued
Remarks
Form 523 Bldg. Code