1975, 05-28 Permit App: L0237 Residence•
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 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. Rater 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.
APPLICANT FILL IN BELOW THIS LINEL
Name of Owner /10wLsnii9 t -0,4S �A� Address .t(///i S,9&'9S,�» Phone 5e, 7eL-?`3
Architect Address Phone
Engineer /j 4/ ,j Address a/ _ 4/ Phone
Contractor ajbSO/n (lard JNLs Address 7�-S 94' PS J�./r Phone ?%¢ Ze1P3
Le al Description of Property (Give complete descr. ion from deed, tax receipt etc 1
)Jr ( }S 0ei-1i va
00
t�xi/z0:1-7 a—X350/
DESCRIPTION OF WORK: New AdditionRemodel
Size of Lot 77-3d1?- 104 -nod-/ 2,4 ,
Stories ``/ Dimensions
Rooms _ s_ Baths al Basement ui 1 I— Foundation Const
1 �- Full, part, non
Heat. System kpt-G f # Type of Roofing Sho_�-0S Ext Finish
Use of Bldg. Res: dQ. n c e op4 "-a- ye q TTa t her/
PLOT PLAN Nor- Gin;Sbinq ionid/= c?sQ02-7o.°;
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.
Moving Bldg. Zone —�. Fire Zone S
ld
Sewage System 7 %-F,r4. h' .
onst.
Fr., Conc.. Br., etc.)
/o$ X 3 O. Total Sq Ft alt�/c� Valuatiorya- Oa
Chimney!'Kind) Fireplace a
/ �. �J (Kind) (Number
ktC( 1¢aY Int Wall Finish oaf- )(ice //
No of Units _Bedrooms
>YNORTH
RESIDENTIAL - COMMERCIAL
As'
I hereby cer
as shown.
State License No.
Y)3—GI-1a7aa-O/1
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
—o
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ifinforms fo�'9tted is correct and there are no other structures located on this property except
�
i . YLC
5
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Apt, 7�al
A '
Your street address will be I94/06 Lei_ )10ro_ ,J/) The zone is Re— / Jgvtc. 6 /
rozeid
Sewage Permit Number Issued Building Permit\ oo 37 Receipt 7'7 7r Issued ((//
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Blda. Code