1975, 08-15 Permit App: L1203 ResidenceJ
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .__3
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 =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.
' RESTRIg1fI__VE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
wbic are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
y�/%//� /r^ /� AP/PP (CANT FILL IN BELOW THIS LINE 9' H'
Name of OwneraA? /-�'eL;J 4Lig J — Address -3-8.-141--n-;4-.• '$ Phone 5?";? -5:"---6.419e2
Architect a Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1
..4474-7 APA4
DESCRIPTION OF WORK: New `� Addition Remodel
Size of Lot �(� X /(/ 7 Q
Moving Bld . Zon Fire Zone
j�l!' �t�
Stories rmensionVs
Rooms Baths /,(Full. BPert �notn /Foundation Cons
Bi3 Type of Roofing CD 4`.1)
Sewage System Const �r'""r
'p (Fr., Ctonc., Br.,
Ft � 2 73 Valuation a4{I000
Chimney ----- Fireplace
S'7c�`� �'f'r�.�X Dotal Sq
t
Heat, System
(Kind) (Number
Ext Finish 5i ^'pScN Int Wall Finish Dy (.4.1/41-1.—
No of Units4Bedrooms 3�
Use of Bldg. /\ e -S r 4157e.u••c-e le- Isis . dam' .r —
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
RESIDENTIAL - COMMERCIAL
• SOUTH
hereby ce tify in or tion fsubmi ted is correct and there
re
y
other
State License No.
Pa3—o/- )3?73
Ind, Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed -
ctur located on thi- property except
Owner or A
_ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCFI{S.
THIS IS NOT A PERMIT.
.74-2 SCJ
Your street address w111 be d. / L ✓ c Crt-Q
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is
Building Permit �lfi7j Receipt
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HEALTH Dsk.
JUL 111975
ENV. HEALTH
O. APPROVALHEALTH ONLY
SPO. C.
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