1975, 12-01 Permit App: L2190 ResidenceCounty of Spokane, Wasknragton
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. 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.
X00
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on
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 County or State
APPLICANT FILL IN BELOW THIS LINE
Name of Ownerlty�u 'u..t l )JYc/-d Address
o8'
Phone HHO'-9-4709
Architect Address Phone
EngineerAddress Phone
tr
Conactor vC1',C%vDL2— Address Phone
_.pezi., a.-.$.3 —/6a4
Legal Description of Property (Give complete description from deed, tax receipt etc
to r a[ ,p,C/t 7,L /7} Li Ithi,. -d %%EC a21,"
DESCRIPTION OF WORK: New K Addition
Size of Lot %6.-j' X / 34'
Stories//.0 Dimensions -2 7K -28. -
i
Rooms .i.. Baths Basement
(Full, part, none
Heat. System Ty of Roofing d.17,c
Use of Bldg. ALL! . .Q.d1,I4i.,/-Cis 4.
Remodel Moving Bldp Zone 4._ Firerjpne
Sewage System 2 t.!'i Const. rtti/QiI'Yt-ie
! r (Fr.. Conc., Br., etc.) a O ‘38;"421----
al Sq FLa/ �' 4' Valuation
W 2Q -- /.2xag 1..3w
Foundation Const. L Chimney' Fireplace -- /
(Kind)A(Nu
rbe:
Ext. Finish 1'/�• .f11 Int Wall Finish
/i'�
�fC 44- No of Units __ Bedrooms
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.
NORTH RESIDENTIA COMMERCIAL
I hereby cert
-� as shown.
State License No.
Ind, Ins. Acct. No.
REQUIRED
Plumbing Permit
�n Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property excep
_ /S -s -7o
Owner or Agent Date
• A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0.44.-14,7442,pp 00
Your street address w111 be / $2L >Cl, t'xkro .lX The zone is V
Sewage Permit.Number Issued Building Permit /9/0 Receipt /1<r? Issued
Remarks•
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
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