1975, 06-26 Permit App: L0643 ResidenceBUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201. D�
�4(APPLICATION FOR LAND USE OR STRUCTURE PERM ITi f /
• •
County of Spokane. Washington
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required byCounty 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.
I 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 47235.
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 OP 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.
Name of Owner Tom A-kin.j Address 1.01{ ki-k8bO Ggal4 Phone say—nD3
APPLICANT FILL IN BELOW THIS LINE
Architect
Engineer
Contractor Mn m A --ii In s.
Address Phone
Address Phone
Address SOx tLki5h(1 q 14 Phone CM- yl1DR
Legal Description of Property (Give complete description from deed. tax receipt. etc.)
C' l o r 3n, nc,1L r]C- ', Aorec
p 5 ‘.7(4- (9 7,6 C) SiCy�iin.u/
Add
DESCRIPTION OF WORK: New Addition
Size of Lot 105' Y. IRf1/
Dimensions r•Q 4 r X l h
Stories
Rooms
Remodel Moving Bldg. Zonen—1— Fire Zone 3
Sewage System Sepp+tC •
ConstFr., Conc. etc.)
Total Sq. Ft. 3 (D tJ (V`1aluation :j, c 00
Baths Basement �u�, Foundation Const C. r7lAC Chimney �if ir�K Fireplace a
Full, part. none (Kind) (Number
Int Wall Finish SLNr+roc
k.
Heat. System F. A. Elert Type of Roofing C.€mp Ext Finish n pd
Use of Bldg. 5tnc{te Pcves�y Kes
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
S.'
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-
RESIDHJTIAL — COMMERCIAL
SOUTH Le,ncra.
I hereby certify information submitted is correct and
as shown. G5----_ •-^ `
r.
State License No.
<Qa3-n\- (5fls9
Ind. Ins. Acct. No.
REQUIRED t
Plumbing Permit G n Id S e Q,'
w Heating Permit p A - M
N Sewage Permit Ro o.0 A UaULef i
- f
Plans Received
CY
Plans Checked
• Plans Returned
• Plans Picked Up
Plans Mailed
there are no other structures located on this property except
—a/ -7S
Owner or Agent Date
-A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
a N'i- a DO NOT WRITES BELOW THIS LINE
Tow street address will C' / 7j 7 r yi24,444.Q i✓�-fL.CI-�
Sewage Permit Number Issued Building Permit era( c// Receipt 9750 Issued
Remarks
The zone 1s 4f/JIA&t/L4'f' LC2-
Form 523 Bldg. Code