1975, 12-08 Permit App: L2254 Residence• 0
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 aqy
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 covenants or dedications.
A�/PPLICANT FILL IN BELOW THIS LINE G�
Name of Owner i'. / G Ate, /�-/*/ 7 _.�... Address / �Phone ,? -‘47'n
Architect Address 9�a/.✓ Phone
Engineer �y)
Address 7/ -6c'er�
Contractor -e., (J AddressO42arfO
°y()/
Legal Description of Property (Give complete description from deed, tax receipt etc ) (,/ =t.-'d'-Ct 71-5-75/
DESCRIPTION OF WORK: New 1 Addition Remodel
Size of Lot /CR 0 ' x %'
Stories _Dimensions J6 / .X ,9 /-.
Rooms 7 Baths 0 Basement J 1/ Foundation Const f d
Fu I, part, none
Heat, System r ,! Type of Roofing ,Spa /de xt Fi
Use of Bldg.
Moving Bldg. Zone / Fire Zone
Sewage System 5 'T Const. / r d M -c
(Fr., Conc., �Br , ate 1
Total Sq Ft // a Valuation t'Pc/
Chimney -8,J CK Fireplace ea.
(Kind) _/n � (Num
Int Wall Finish^' r -
No of -Units _ Bedrooms `-..e53
n r e-/`�
nish
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2
proposed buildings; (4) distance to property lines and streets;
7— /it
street or road locations; (3 location of existing and
(5) dimensions of buildings; (6) locati n of sewage sys-
tem and water s ,,ply lines.
N
NORTH
COMMERCIAL
SOUTH
I hereby,4rtify information submitt
as shown.
State License No.
aD--G/_/C/a/
Ind. Ins. Ace). No'
6/a/77,4,
REQUIRED
/
Plumbing Permit
nt Heating Permit
ta ▪ Sewage Permit
N
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and there are no other structures located on this property except
f�J7c
ate
A LAND USE OR STRUCTURE PERT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. .
THIS IS NOT A PERMIT.
Owner or Agen
O-4Ji1!Jf
Your street address will be meq" ai4 Q , ,r,/C/
DO NOT WRITE BELOW THIS LINE
Sewage Permit Numb
Remarks' 4m
.eh
_ ' tf2 The zone is i?— /-1-40-;4
6s /ed Bu lding Permit ., i Receipt /, G if"' Issued
VI/
Form 523 Bldg. Code
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