1975, 12-01 Permit App: L2184 Residencej
46-
e say of Spokane, Waal: jton 6a d cua..i.
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 4( 7/
APPLICATION FOR LAND USE OR STRUCTURE PERMI treL9
GENERAL REQUIREMENTS PERMIT FEE /
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of atty
kind or alter any building or structure already erected, or to change a land use. Construction most 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.
A z , APPLICANT FILL IN BELOWn�THIS LINE
Name of Owner ik-[�i�c.g6L Gy�I..IIA� Address �t-t /�/ — ��d`( 3 Phone o� 9t— -�a y/
Architect a Address �t'�ft � . (./i✓`- Phone
Engineer ((((���� nn Address 9' 90,-1n Phone (/
Contractor .B'\ ,L,•' Address �� n.ty . Phone a9 / -33 7 y
LepsI Description of Property (Giv compdescription fro deed, tax receipt etc ) 0 9 5 i / if vs.
DESCRIPTION OF WORK: New Addition Remodel Moving Blig. Zone / Fire ne
7
Size of Lot /6 6 y. I a S • .4.-1--'-• Sewage System O ' Const.
Fr., C c., Br., etc.) ou
Stories / Dimensions (J X 6 ' S 92 -176? -0) Total Sq Ft / iOr-2/1 Valuation Oy
Rooms Baths / -- Basement Foundation tonst : ed. G - Chimney Fireplace
ull, part. none% (Kind) (Number ¢
Int Wall Finish �-�- _ o off`
No of Units _ Bedroofhs 3
Heat. System _ Type of Roofing
se of Bldg.
PLOT PLAN
Draw sketch with dimensis showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and str - dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
as show
SOUTH
ontbmitted is
Owner or Agent
AND USE OR STRUC
1S 1S NOT A PERMIT.
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State License No.
ac9-3- o 7- g (35
71q1. I,7ns. Acct. No.
REQUD
Plumbing Permit 072,4...e 4 -1.n0J
Heating Permit
Sewage Pe ' it
/'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
rrect and there are no other structures located on this property except
Date
E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
rrn \ah Q -waca
Your street address will be
Sewage Perm Number
Remarks
DO NOT WRITE BELOW THIS LINE
o(
4ssued
S"Y1
0
0
-i-' c .,The zone is
BuiiQdng Permit °�al KYReceipt sued
Form 523 Bldg. Code