1975, 10-17 Permit App: L1871 Residence1
County 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
kind or alter any building or structure already erected, or to change a land use. Construction must
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
whidh are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
14 APPLICANT FILL IN BELOW THIS LINE ��a 6
Name of Owner ? j4.. oe` �" e i Address F (19-C7 f41 5 5t °-N Phone
Architect Address Phone
Engineer Address Phone
Address -;n•cz— / Phone
—
L gal Detcri tion of Prop rty (re complete des lotion from deed, to r c ip , etc) 3 r7 l
r C9767
1
structure of any
conform with the
l
1
Contractoq Sur e"
pa< -Q
DESCRIPTION OF WrORK:I�IewX. Addition Remodel
X
Size of Lot d 0 1 3 �% Add)
Stories Dimensions S3
_ . X ,-
Rooms "1 Baths Basement JO tirt Foundation
Full, part, nonelf L�
Heat. System ' I f+ � WType of Roofing ' •it L` e
Use of Bldg. Y^P5idCwtDta(I Cidvlolr 1tift 94.
ru1r
Moving Bld. , on- 1 Fire Zone 3
Seystem •'O -,i-' Const, Flu r'` Q.
(Fr., Conc., Br., etc.)
Valuation -� S .9-5-0
Const. CO id C we to Chimney r he Fireplace 1
(Kind)1 (Number
Ext. Finish WO c.d. :+d511 tnt. Wall Finish U ,-'y k'& t I
k N
No. of Units 1. Bedroefms 4
Total Sq. Ft
14
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.
to
303
NORTH
re t -a' plu 0fo
SOUTH/
pr
I hereby certify information submi 'ted is
as shown.
orrect an• t ere
State License No.
x-.9.3 01 10673
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit t3
rA Heating Permit (✓t f -lr'd
Sewage Permit 1A-rii L l YV-
Plans Received
Plans Checked
Plans Returned - -
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Owner or Agent/ Date
ti LAND USE OR STRUCTURE PERMIT MUST BE ON T = ' REMISES BEFORE CONSTRUCTION COMMENCES.
HIS IS NOT A PERMIT.
11.0_40 DO NOT WRITE BELOW THIS LINE
Your street address will be 3
Sewage Permit Number Issued
Building Permit
The zone is
Receipt Issued
Remarks
Form 523 Bldg. Code
R. H. Hc.)OVER,
LAL ORS
E. 0207 MISSION
SPOKANE, WASHINGTON 9920‘.2.,'
PHONE 924-902V
ROC
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PROJECT
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DATE
SHEET NO.
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