1975, 06-26 Permit App: L0642 ResidenceCounty 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 mast 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.
y APPLICANT FILL IN BELOW THIS LINE 9-2/l
Name of Owner TOr'n A*kUwS Address nOX 1406%) Clgalti Phone Cl raiy-IIU�
Architect Address l Phone
Engineer '\ �) Address Phone
Contractor -rnvvt i\ -44 tvis Address B° ‘LA 0100 gn 04 Phone Sag -I1n _
Legal Description of Property (Give complete description from deed, tax receipt etc 1
LR+.Zq (lnrk 2 t-- Aores Ada.
s yuIew
55"41/21-67029
DESCRIPTION OF WORK: New Addition
Size of Lot 1Os` X IRO'
Remodel
Moving Bldg. Zone _l-- Fire Zone
SepktC Const Fr
Fr.. Conc., Br., etc.)
Total Sq. Ft. IR(nO Valuation 3ti)S LSO
Chimney Fireplace
(Kind) (Numbly j
Int Wall Finish 5LeenrncK
Stories O Dimensions c 4 / 11 - n'
Rooms (7 BathsBasement rcut
Full. part, none,
Heat. System F. A EIcg-'f Type of Roofing
Use of Bldg. S tAy. e.. -t 4rvt A .�
Sewage System
Foundation Const
R es
C n nC
Ext Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
No of Units _Bedrooms
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-
RESKENTIAL — COMMERCIAL
I hereby certify information submitted
as shown.
MOM-
Aru
Atka
is correct and there are
State License No.
r r 3 -UI - lSOS9
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit G/�/n\r1 Seal
Heating Permit A a- M
Sewage Permit Rn\c A ‘A)a 111 ff'
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on\this property except
•
•
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
0-44-
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address p111 be f/ 7.7, ca. " l n yi,rt.7-2 15 r'U
Sewage Permit Number Issued Building Permit
The zone _'141—
dtaebd•06 (0— Receipt 4730 Issued
Remarks
Form 523 Bide]. Code