1975, 06-02 Permit App: L0271 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._. G
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'he
Spokane County Building Code and Zoning Ordinance. Construction -is subject to inspection.
RATER. Water supply must be approved by the County andState 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.
oU
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
Architect
Contractor
Man
on
Legal Descri��n7of Propert
sd -o
c
(Give com
0
le
ddress
g ineer
a,
Ou
w
_
ARAMI �
Address yr U 6
`. e
w /
SU
4
e descrip ion from deed, tax
0 1 (� cY ,
eceipt, etc.)
O
Phone
-��1�86
Phone WQ.�Z
lo/b of /
PhoneL( l,,q.2 kD
DESCRIPTION OF WORK: New.
70 X
e Dimensions a 8x 7 0
oncrete, brick, etc.)
Size of Lo
Trac• i510
Addition
et-. cxeep
72e
Remodel Moving B dg. Z. e
Sewage System' - G LLT. Stories 1•
Tota
l
Sq Ft rf-s— V uationJj 7 CO
/
e Chimney heireplace 2
mss, / (Kind) (Number/
I� Int, Wall Finish /" of
o. of Units / Bedrooms _a
Private Detatched
e5
u.)e ,1
sfl
Fire Zone vT
Rooms .."l Baths A. Basement/4/// Foundation Const /104 c(--• e
ull, part, none)
/ c Ai C-Typta Roofing CO J•-- Ext Finish
-7//;191 ,,r9 /
Heat. System
Use of Bldg. 9
Garage or Carport Attached d c%' Q. zi -e 4#-404 C
(� PLOT PLAN
27C'/ O7,5 t4
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property
tem and water supply lines.
11
rn
-1
NORTH
lines and streets; (5) dimensions of buildings
7 J,.r
5se/'��
SOUTH
I her4y ce4t, y g ormation su>piitted js
• as shown.
(3) location of existing and
(6) location of sewage sys-
State License No.
aa,?o/a?V 2
Ind. Ins. Acct. No.
?02 _ /14,
REQUIRED
///
Plumbing Permit dd/k5/e''
Heating Permit ��I
Sewage Permit !N
'/tel
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
correct and there are no other structures located on this property except
Owner or Age
t2 7,4
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
&tA, M•2-eLP DO NOT WRITE BELOW THIS LINE
Your street address will be (//// /I "//
� i�ir4..� a zone irs�(y�
r
74
Sewage Permit Number Issued Building Permit /CCC((( / Receipt %h e� Issued
Remarks tJJh�i
Form 523 Bldg. Code
0 74-. L.; /-7 e -11 0
/14/int." )(IC; /1)1-6 it/
••Z
,
o & cc -eft -ire
/
tt
e
V 025 q /7-r
1,4/V C
hot /0Pfr00)
&01
• bi co 5 -lei.
/70-