1975, 06-30 Permit App: L0705 Residence111/
County of Spokane, Washgngton
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT h/,
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Por #14 r> G 4GpNVL O Address PC) 1311 ]I c2/3 64C - RA Phone
IeA
Architect s'�%/►r Phone Engineer Phone
Contractor %/tJ S C d r1/ 5-7 Address Phone
tax receipt, etc.) .9 3 _4/ - 0
Legal Description of Property (Give complete description from deed,
'L ope4
DESCRIPTION OF WORK: New `-
Addition Remodel
Size of Lot SPO '
Const F/04 N1., Dimensions &-9 / )k•
(Frame, concrete, brick, etc.)
Rooms 7 Baths _ Basement
r (Full, part, none)
Heat. System . Type of Roofing
Use of Bldg. ed" i 4,"
2-E
Moving Bldg. Zone / Fire Zone
Sewage System 'la Stories
AWValuation 24, �% 01b ;14/2
Chimne/- Fireplace
(Kind) (Number)
Int. Wall Finish V' yi.... 4 1 /
/0 / / O Total Sq. Ft.
Foundation Const -eT C
Cam p
Garage or Carport Attached )t
Ext
Finish 1 1it
PLOT PLAN
No. of Units Bedrooms
Private Detatched
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) imens ions of buildings; (6) location of sewage sys-
tem and water supply lines.
,r..- 24 -,
r
NORTH
(6.er
Cam
1
J./
I hereby c
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT M
THIS IS NOT A PERMIT.�y
4
Your street address will be
IRO
Rn
State License No.
0 / <
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on)his property except
G/3 c /'75
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued
B gilding Permit
Remarks
7 The zone is
76S Receipt '�r19 Issued
Form 523 Bldo. Code