1975, 07-07 Permit App: L0743 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 j
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /•L
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 thestructure• 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.
.�2 a
APPLICANT FILL IN BELOW THIS LINE ,Cif ,�,Q QggQ�j.
Name of Owner A/�iCC%L���LM'•A-2 �.�! � +it.�t..' Address •— "-•�a_`r Phone �%'�'����5
Architect Address 62.1-r Phone
Engineer
Contracto
Address Phone
r yy.0.4/t4 Address q Phone
Legal Description of Property (Give complete description from deed, tax receipt etc) Oi�/P-Y -Z-w - 6 a/3
k err i ac /c P.(!tly>,i ii,,11.N1 ,q4,49.
4,49.
DESCRIPTION OF WORK: New X
ze of Lot o 7X/AiO
S iriesz
Ro ms On Baths
Heat. System
Use of Bldg.
Addition Remodel Moving BIdI
�Sewage System Ar!
f4 4f/ tJ4es- )Total Sq Ft
Dimensions.,3e1 X42 1
tQ•
( Basement Foundation Co
nst�A L.J- Ch
Full, part, none /�Q
,A. Tore of Roofing _4,ti2 a r- Ext Finish ("1l�L-Gtir"'
g. Zone— Firg.Zone
D ,y Const.+./-4171-�y12F
(Fr.. Conc.. Br.. etc.)
� ^ , .O valuatio Qat
m y (Kind) Fireplace Mit
Int Wall Finish fY;'1
No of U 'ts _=s,
2C dfT.¢.e�.tii4.
Atit'^^tAllial
PLOT PLAN t1 yiazLvwQ vct
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
-I
NORTH
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOU TH
State License No.
2.2 3-o/ -/ Q=om`'
Ind. Ins. Acct. No.
3_,2t%- 710
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Cl Plans Received
PlansiChecked _.
4� Plans Returned
Plans Picked Up
Plans Mailed
I he eb certify ioration submitt is correct and there are no other structures located on this property except
7-7-7-3—
Date
CONSTRUCTION COMMENCES.
as shown.'
A
Owner or Age t
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES 'BEFORE
THIS IS NOT A PERMIT.
&AA, -jjK.e54 DO NOT WRITE BELOW THIS LINE
Tour street address will be /6 /6 pf-J -t-42ai The zone is i?"- JtAilt y --/.list.°.
Sewage Permit Number Issued Building Perini Receipt TA' /S' Issued
Remarks
Form 523 Bldg. Code