1975, 10-29 Permit App: L1937 Residence7n
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 onwater 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 egre,ss.
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.
cc jj�� APPLICANT FILL IN BELOW THIS LINE A ,
Name of Owner. et AA,4- A . iiRiEn leir_ Address E. %a7oS— (aP Phone ?ab -670?
A 7e
Architect Address Phone '
Engineer ('� Address {� Avehone
Contractor et E, LbrJSTk}LCT1o.J Address e (a?OS-ja fS.4.92/(,phone
Legal Deserip Lon of Pr,,gppert(y Give complete � Spriptio from deed, tax receipt etc.)
OT '(1 47LoGG I ( %ffist. 711)(17o,O 0'7913 — aoi
DESCRIPTION OF WORK: New i': Addition Remodel Moving Bldg. Zone J— Fire Zone
Sewage System SE-0Ttc- Const FAM+47—
1 c— (Fr., dont., B_r�e�
Stories tfAOimansions 3 K Ps Total Sq Ft goo Valuation l
Rooms —BathsBasement Foundation Const aOstC EMIE. Chimney Fireplace
Full, part, none pp __ (Kind) '7� (Number
Heat. System I �. (5.&Type of Roofing C nAA.Q• Ext Finish (kASOA)lro Int Wall Finish , ail f/ AL✓ -
No .of Units i_ Bedrooms r%—
Size of Lot t'. I 51 pY I'aa t TO
Use of Bldg. �T0�f3E.A5CE.
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
I here
as shown.
State License No.
• 903-0t— r334 -
Ind. Ins. Acct. No.
No 445.4
REQUIRED
Plumbing Permit
▪ Heating Permit
• Sewage Permit
- 4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ify i orma i submitted is correct and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT. .
5„t, Walt DO NOT WRITE BELOW THIS LINE
Your street address will be rY / / 7 6/ 77/6,44,14--74.The zone Is Q
•-Lit �O�d•
Sewage Permit Number Issued Building Permi Receipt C19S9 Issued
Remarks
Form 523 Bldg. Code
g
1�
=2 7
32-
S9
ti'1.0
122.61
r \
tit)
w
Lf3'
REPLn.r:: AcAn
2::r%c.: ,=or: FLA rucc:
40.05
Vr
4`
GA L -L0/3
6 r rI�D
r131
-r�wv
IJ
36=or,
F— I01-->
\N
w q7.o
0 /3
351-0"
(q'
a OR..
SPLI -r — Era -TRV
as_o
1oa.o EL.
q7.o
al
2.6
Paatoe
Slag
to$C.
r
`1'7.2
o2r1-k oltirr
E. 2 V\(S(0/3 i\UEtJu:7-1
i�0i rj .Jho : 1 , 1--,10/'.. 11\-9-1i):( 710/3
C.
`. j o 4\,JEf ,,,—c'r