1975, 09-19 Permit App: L1553 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
es o
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. d
S, 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(ft
e, 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 .g1-Q=c--ti/ Address Phone
Architect Address _ Phone
E Address Phone
gyp/,, Address % . I. �,i.� %e�O C Ph ane g, �6�
d/+ -omelet �-4cri io f m deed, to rec ipt, etc 1 _ /a'!l?>tlr� 6
lao'�6�C/ 0r-5-6-0,..- 070/
Engineer
�/N
Contractor / ' 4-) / '
Leg escriip yon o f)rope ,I G,ve"omplet j
DESCRIPTION OF WORK: New ' Addition Remodel Moving BI g. Zon ( Fire Zone
?Size of Lot / 6 O' X / 5'O • Sewage System Cons Con . Br.,
�/ / i
Stories _t__ Baths
s /'Y X b .4 �r c! t Sq Ft g5 -y Valuation �2>, 5'C d 0
Rooms ± Baths t" Basement AJO Foundation Const ^""`-"'gyp `; Chimney N a Fireplace [�` 6
A I, part, none) T ,���/ (Kind) /J- (Numbs
. Heat
tof Bldg. E. �� Nip, of Roofing 7"1- i ,Ext. Finish -P�C� Int Wall Finish Y2u�L
Use �t e- �4--0—kwto Q'4 Cvot-�-a-ctec.e.t.-e-Q_) No of Units L Bedrooms
/ PLOT PLAN
,1 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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify 1.irmation submit d is correct and there are no other structu es located
as shown. //
his property except
ner ' Agent tate
A LAND rl a STRU • URE PERMIT MUST B • N THE PREMISES BEFORE CONSTRUCTION COMMS CN ES.
THIS IS NOT A PERMIT.
-kl'%(i.,P,
Your street address will be " a 6/' 2 3
Sewage Permit Number Issued
DO NOT WRITE BELOW THIS LINE
The zone is
Building Permit .4/.2 Receipt /1-5g-)- Issued
Remarks
Form 523 elfin. cnda
)w
l3'1. e/9.
.hiu.4444civ6/
1/- cc'
1