1975, 09-10 Permit App: L1463 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. 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 114 BELOW THIS LINE
Name of Owners '*? )Ylei d—+•a N., Address .Sb / �-^• Phone
v r / Phone
Phone
Phone
0-0
Architect Address
Engineer Address
Contractor S1a -r- - — Address --
Legal Description of Property (Give complete description from deed, tax receipt etc 1 kms" if
111.41,••• )2 • .440-/-2") C-ct ICL z S- 2 5 -'' 3
r
"1'1 ok,I b
DESCRIPTION OF WORK: New ' 4/ Addition Remodel
Size of Lot /A 3 ,W / N y
1 / l..2 -z
stories Dimensions—i'2,1`450 3h X 4414 IMP
Rooms Jr_ Baths Basement 1., 1/ Foundation Const
Full, part. no9e
Heat. System �— -.-, Type of Roofing SIa v
�
Use of Bldg. -, , /. -n a.—r—.. n • .
I o
Moving Bldg. Zone 1 Fire3
p Zone
Sewage System St�•'-•r Const. P�"'•--i
(Fr., Cdnc., Br., etc.)
i H X .t °44•01 -Total Sq Ft, 0 Valuation 9C-- 0-..-8
encs. --r- 11 Chimney flr" L Fireplace 3 t
(Kind) (Number
Ext. Finish Int Wall Finish
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
9O
RESIDENTIAL - COMMERCIAL
N
H
R 3,,2/
tlw
State License No.
25 -a/-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit O— le!
U
� Heating Permit A} Y
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ic. R•`o' SOUTH "3"41 >I
I hereby certify information�isubmitted is correct and there are no other structures located on this property except
as shown. d'... % 2.i .r� L. .e 1`. _'i„ 6 ! • CFr'JY/ / q 7 -,
Owner (or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
,1• 144,04
DO NOT WRITE BELOW THIS LINE
Circe
Your street address will be / ”G n..a ) The zone Is
cx • 7c• -
Sewage Permit Number Issued Building Perit Receipt /.. % ss
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Remarks / _ , , _ ___ - ► _ /' 9� �' ./�{��
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7/�r/
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Form 523 Blda. Code