1975, 06-20 Permit App: L0576 Residencec
2h' 4
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 net 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.
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
(SET -BACK FROM PROPERTY LINES. In most zoues`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 ingres3 .
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.
APPLICANT FILL IN BELOW THIS LINE
Addresst 7J'/
Name of Owne
Architect Address
Engineer Address
Contractor ..L:/YH iC Address
Phone S,9&C 7 2 ac
Phone
// Phone
yN A✓ et-ra Phone
Legal Descri tion of Property Wive complete description from ed, to re
</ 7a, X /91z, 93 / o y
P
ac;'a--4". 75gg3
• DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zo
Size of L.ot �/ Sewage System �C-�<-- Const
(Fr3 (`/ ) -'C J 'Q kJ X f U valuation
. Con .1 Br., etc.)
Storie Dimensions Total Sq Ft in 1� g(-4-6,40
Rooms Bathe/ Basement .AQ Foundation Const (1.l�l%` 4...re, Chimney Fireplace
(Full, part, none) (Kind) (Number
Type of Roofing S°..--/I�'✓ Ext Finish /4"=`/( Int Wall Finish et ,-0-e-C
.1.a `-,A— No of Units _ Bedror
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-
6Draw sketch with dimensions showing: (1)
Proposed buildings; (4). distance to property
tem and water supply lines.
`� 51'7l,)c 1gcf .ie 42,4°2 -)( Ed.
Heat. System
Use of Bldg.
m
m
y
NORTH
REQUIRED
Plumbing Permit' -112-12-7
Heatin Permit
g
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed •
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
a,<own.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(gam 7 DO NOT WRITE BELOW THIS LINE
Your street address will be 9 /1 w(• /J /l.Cr ,f A
Sewage Permit Number Issued Building Permit
Remarks
Date /
CONSTRUCTION COMMENCES.
The zone is
Receipt ±'Issued
Forr 523 Bldg. Coda
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1.Z1.2ase consider the following TITLE EXCEPTIONS in vaIue;
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