1975, 09-10 Permit App: L1466 Residence® •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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APPLICATION FOR LAND USE OR STRUCTURE PERMITr*
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 QQcovenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner I n rvt r�`� k 1 n 5 Address PO SOX I l nb
elg014 Phone
gay -1103
Architect Address Phone
Engineer Address Phone
Contractor 1 c:' vv‘ P+kt,n5 -Address Po. Box ILInlo° qRE Phone Clad- 1/01
Legal Description of Property (Give complete description from deed, tax receipt etc ) .t72.4 -en, 4R.i4' -/O//
LOT II • 6Lk Ito Skyu1e,n ,odd.
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone '3
Size of Lot Si. 91 1?? )( IS n Sewage System 3Sep-I 1C' Consr., Conc., etc.)
Stories I Dimensions .71)1 X (n%.fill Total Sq Ft I�18S' Valuation . S19n0
Rooms Baths s'Z Basement FI3 II Foundation Const 0 a Nt`ce 1 e Chimney Rrick Fireplace oni-
(Full. part, none) (Kind) 1 `Number
Heat. System I, A Fi. 1^T�ype of Hoofing SL4kr S Ext Finish (Jena Int Wall Finish U�4.it knit rck
Use of Bldg. Strkic• Tum,1.1 R cc,
0 ,%� 1lpd.GCCLyt 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 streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
No of Units _Bedrooms
NORTH
RESIDENTIAL - COMMERCIAL
State License No.
(�I- 18 Os
Ind. Ins. Acct. No.
3-74,
REQUIRED
Plumbing Permit ((GO is /Sec
rw Heating Permit PP4eS l , nal'.
N
se Sewage Permit R011MMC
4nA Wcee
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify, information submitted is correct and there are no other structures located on this property except
as shown.
cm) - opt 10 l 9 l5 -
Owner or Agent I Date I
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TH151S NOT A PERMIT.
a "kap ZiD DOQ NOT�WRITE BELOW THIS LINE / /}{ • , _ yn�
Your street address w111 be ,� FOS o7:(J4/� i The zone SB(/t<f GLG( ,424,---24
Sewage Permit Number Issued I Building Permit 0i i6, Receipt la &i Issued
Remarks
Form 523 Bldg. Code