1975, 08-15 Permit App: L1232 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
4,0, 0
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. 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner • • ass Phone
Architect Address Phone
Engine:r i Address � hone
Con` �ll�w��i—� �i--- s . , Address - _ .it:_, ��. -Phone
egal •esc ipti .' Property (r r e co t cri ptiopfrD dee tax receipt, etc .,..APS/ �e Wil(
.r,,id/� /i /`'a/v om
4& S 4— 0? or S
DESCRIPTION OF WOR New Addition Remodel Moving Bid Fire ZJI,e
�o
Size of Lo//t �nl
Stories �.D'mansions - o+-- /,_ �,/ ? 6 d
g/ one
Ro ms -..2— Baths
IF
Heit. System __ 6
U h of Bldg.
Sewage System
-• i
Ext Finish 9 /
T a Sq t
Basement NO Foundation Coost
II part, none)
Typof Roofing
cf-eset
Draw sketch wi h dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
st
Ydi r.Do, Gtonc., Br., etc.)
Valuation
nine),nnine), l Fireplace
(Kind) v(N_ L.[X
umbey�
Int Wall Finish �
No of Units IBedrooms
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby cert
as shown.
SOUTH
information
submitted is correct and there
m
N
State License No.
• Ind, Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Own or Agent Date
A LAND USE OR STR CTURE PERMIT MUST ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.•
M
144.
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT W
ITE BELOW THIS LINE
Building Fermi
II
0a.
/�'I'be zone is 49Q4 74//4-4e. i/ iLLl
/.Q. 31 Receipt /1;24(7 Issued
Form 523 Bldg. Code
•
1
1
=a.
1
44- --+-s-1
SAck-ssoiti
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