1975, 08-15 Permit App: L1202 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 $2•06
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.
feOtINTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
rformed 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 Stye
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.
RESTRIy,IVE 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.
•-�, J�(� j/J�,�y-P !CANTh� FILL IN BELOW THIS LINE,...) /'_//a 99��i6
Name of Owner (-L- 1440 r �e-Address �7+ 11 diel) taro /lee Phone �G?&/e
Architect
Engineer
Contractor
Legal D cription of?i Pro •e y (Give co
Address Phone
Address Phone
Address PhoneLr `
x „:21:4V
ce' t etc.)
//
eta dcriptiofrom de
DESCRIPTION OFF,WORR: et/w
Size of Lot /‘,7/7Cit-t//T7 ��1
Stories / Dimensions 347r 4
Rooms 4 Baths / Basement-
}-- �7(Fu(I, part, non
Heat- System r,F)13 Type of Roofing
Use of Bldg. l7TTTe•j; fle,'C e —
Addition
Remodel
11
m
to
H
Moving n_
Sewage System Cons Con Letc.l
!y Total Sq Ft /
% -_f
d1 * Valuation Q9e` c
Foundation Const -"F - Chimney Fireplace
(Kind) (Number
Ext -Finish ` Jf -se/V Int Wall Finish tir y
�1 W"a'f-L
47y, G No of Units L Bedrooms O4
Fire
Draw sketch with dimensions showing: (1)
oposed buildings; (4) distance to property
m and water supply lines.
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-
NORTH RESIDENTIAL - COMMERCIAL
in 1St la
SOUTH
on
N
y
State License No;
3-o/—/Y97'3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herecertion/-ubmi ted is correct and there ;fi- no other s uc
L
Owner or Agen 3 Date
.
, A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.'
THIS IS NOT A PERMIT.
4 ®M 'yi,,t/ / ADO NOT WRITE BELOW THIS LINE
Your street address will be / 5 t� t2
Sewage Permit Number Issued Building Permit
Remarks _ _ ___
ocated on t.is property except
The zone is
Receip. 2 -
slued
Form 543 Rlrin Cori.
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HEALTH DIST.
JUL 1 1 1975
ENV. HEALTH
F.H.A. APPROVAL ONLY
SPO. CO. HEALTH DIST.
K•S•