1975, 12-08 Permit App: L2257 Residenced • I •
Canty of Spokane, Washtgton
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 t0 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 covenants or dedications.
l-�
yt APPLICANT FILL IN BELOW THIS LINEI�n/�
Name of Owner Pre,. P 0 I/.��n-�„r+ Address ✓`m..r.CZ"A / Y dW �i Phone �3 ;'- 'f%6l
Architect Address //ii3 L, Phone
Engineer Address , / /'n_ // // Phone
Contractor Pcr .�C 0 r..Ja-+n.-'-� Address „7.,,
cS +fi /vcl' �fti/ Phone `.� 3 H -(F6 e% /
Leal Description of Property (Give complete des_ption from deed, tax receipt, etc.) S/ tea-. �/4 fl 75 4' ? - 0-VDy
DESCRIPTION OF WORK: New & Addition Remodel
Size of Lot /0 u, 70
Stories / Dimensions 14 0 6
Moving Bldg. Zone Fire Zone 3
Sewage System S C7 Cornst. Arrc.C, etc.)�
Total Sq Ft )%'."8.- Valuation ?Oa 4Y OCa
Rooms Baths v- BasementC.,// 1 FoundationLConst co /IC..- e 7 -e
Type of Roofing iS/) mow/ -F _7 Finish � / /
Heat. System
Use of Bldg.
Fu I, part, none
i
PLOT PLAN
Chimneyf' *-esA Fireplace
(Kind) (Numbbeer/r
Int Wall FinisMd-C-�-r.-* •f
No of Units _ Bedrooms
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.
-I
y
NORTH \ESIDENTIAL COMMERCIAL
\
state License No.
/\/
�'lI-SF-A3ogJ/J
Ind. In . Acct. No.
17G Id
REQUIRED
Plumbing Permit
w� Heating Permit
ILD
Sewage Permit
y ..
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cgr£i'y in6r on sybmf$ted is correct and there are no other structures located on this property except
as shown.
✓( Y(^^ l 'UY - ( INA
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9-iNe.fCEP, DO NOT WRITE BELOW THIS LINE
Your street address will be J ayo h / The zone is
Sewage Permit Num/per Issued , Building Permit _,,f9.211 Receipt It / Issued
Remarks 7 '47i, co,7/i ti' /2-A/ irr —
/ /1
Form 523 Birk. Code
,fi
L0% IK. 3 GAti/.s ?A 5 aits