1975, 07-17 Permit App: L0872 Residence410
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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 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 47235.
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 'Inc be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer. •
,- M(B1k'G 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.
II11 l� APPLICANT FILL IN BELOW THIS LINE
Name of Owner � GAF, YF, KRt�A)k:E Address C �a?OS— Phone 9aG-6 (oa
Architect Address Phone
Engineer lI11 /i Address `1 Phone
Contractor 1)cb E Cows-ne..cr;,rJ CD. Address E. (a? 0 S -1a PWC Phone 9a:a—i�?O
Legal Description11dp�
of Property ave complete scriptiflfln from deed, tax r eipt etc 76-12> 3 -Q
ken -(01 15 ,ciC (f i�lM, Pal);Tnoo sol4tn)E s ZY
DESCRIPTION OF WQRK: New X Addition Remodel Moving Bldg. Zone e- Fire Zone
Size of Lot o )C 132, Sewage System 5FPTIL Const. FRAMe
�1 p,�/02 (Fr., Conc., Br.,.,,etc.)
Storiesl('a- Dimensions d -S7( C .1.4)•!. V Total Sq. FL -1 Valuation a%St°
Rooms Baths 1 Basement L.1.- Foundation Const COA)C.RETF Chimney rFireplace --
jUUFu(1, part, nonei (Kind) (Number
Heat. System �LEtO
, .6 , Type of Roofing COMP• Ext Finish MckSoione... Int Wall Finish SfiEECRocK
Use of Bldg. (NES CDE+JCE-/ — 4, Gl�v y, % co.��c.yNoOoof�UUnnits 1 Bedrooms 3 -
LLL JL or%a-r // �, / O `
PLOT PLAN %�2v•
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.
en
N
NORTH
A'tm t{ Ee
I hereby c
as shown.
State License No.
a,23 —01-1733q
Ind. Ins. Acct. No.
REQUIRED %
Irr�SS 1 LiRM14B(A6
ToPvC/)o
I -CSA.
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
information u matted 1s correct and there are no other structures located on this property except
Q..,,:� 7-17-7s
net or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(9nti w, a 90/
} DO NOT
WRITE
- BELOW THIS LINE
Your street address will be �1 0 /'i�cQ,z�.-� The zone is (-9 / ,°?
t4 . Sewage Permit Number Issued Building PermitReceipt 7g41 Issued
Remarks
Date
Form 523- Bldg. Code
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