1975, 08-13 Permit App: L1169 Demolition Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
ENERAL REQUIREMENTS PERMIT FEE 3
[T REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
or alter any building or structure already erected, or to change a land use. Construction must conform with the
Lne County Building Code and Zoning Ordinance. Construction is subject to inspection.
t. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
Lurface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
.E SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
ACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
gress.
[Y ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
armed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
iG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
ray, clearance must be obtained from the County Engineer and/or State Highway Department.
;SORT BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
tICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
i are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT PILL IN BELOW THIS LI
of Owner ii/ ii Alf -A6.- /v. Address
tect Mnallffir Address
e: �_�. Address
actor .�T RIPM ��= 0-4 Address
Descrip on of Property (Give co d cription from deed, tax rec t, etc )_
_,( )e..J51. 6 1 ._ 1C74--__0/{-__ _/ .1.6--,...5-;:c"--/
a a4LJ
Phone
Phone
Phone
Phone (///C -.9D
RIPTION OF WORK: New Addition Remodel
of Lot
Moving
Sewage System
Bldg. Zone / Fire Zo
3.
onst.
Fr., C c., Br., etc.) 0.0
;s...2_Dimensions Total Sq. Ft?t1Z7_Valu on K670
s Baths � ullB separnone) Foundation Const Chimney (Kind) Fireplace
Number
System (Type of R
)f Bldg.
Ext. Finish Int. Wall Finish
No. of Units _ Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
and water supply lines.
NORTH
RESIDENTIAL - COMMERCIAL
SOUTH
I hereby certify 'nformation submi
hown. -
Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
▪ Sewage Permit
.01
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is corre and there are no other structures located on this property except
Date
-1,3-7 T
LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
IS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
street address will be 6
Aida
Arm
The zone is
ge Permit Number Issued B lding Permit .A 1/ (of Receipt {Lj/k,
lrks
m 523 Sitio. Code