1975, 10-29 Permit App: L1938 Residencet>
o« •.
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 --
GENERAL
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 OwnerI or,A2. S t K'&tcct*e
Architect
Engineer
Contractor
Rfb E ` onn-t ter&
Address E Ia70S _IXh" AUS, Phone Qat --��oa
Address Phone •
Address .. � E.Phone
Addressa-70S-H 6tJ.992Il Phone lab -4-07o
Legal Description of Prgpgrty (Give comp) to desc.Nption from deed, tax receipt etc.)
LOT g I I3GoQK I 1 NtM, PrrO T(o/ff 07 S43 -nba
DESCRIPTION OF y%OAK: New X Addition
Size of Lot -1 O )C 13A •
Stories Dimensions
Rooms Baths 1 Basement ruts_ Foundation Const
(
Full, part, none)
Remodel Moving Bldg. Zone 1 Fire Zone 3
Sewage System Sart G Const. FQPokE
(Fr., Conc., Br., etc.)
Total Sq Ft 1 OQ t Valuation as,S-1540
CA,n7C-kE-TE Chimney ------1 Fireplace
(Kind)(Number
IVulSorJITE Int Wall Finish " YRYWALL-
No of Units 1 Bedrooms 3
Heat. SystemSA-Et. O.p.Type of Roofing
Use of Bldg. gcSt@e-ace
C.O hnQ• Ext Finish
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
n1
to
ti
91-0-r 13 Less') Pct-t-Actku
I here
as shown.
SOUTH
State License No.
aa3--O( —1733st
Ind. Ins. Acct. No.
N O 4-4ELe
REQUIRED
Plumbing Permit
rw Heating Permit
to Sewage Permit
Plans Received
Plans Checked -
Plans Returned ---
Plans Picked Up
Plans Mailed - -
ertify infor tion submitted is correct and there are no other structures located on this property except
--(2-q-75—
OwnerOwner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS HOT A PERMIT.
CAL/,14,g DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be g / O -5 e .GQ.LG iC.' The zone is a.71:0-444-/-44--
sewage
. - /-44--Sewage Permit Number Issued Building Permit v" p Receipt O 9.19 Issued
Remarks [
Form 523 Bldg. Code
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