1975, 12-03 Permit App: L2213 Residence410
Canty of Spokane. Waslgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1% i
GENERAL REQUIREMENTS PERMIT FEE J`F'
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 LIN�Ey�,4 Address Phone
Phone Q ✓fid �9 4P
Address Phone
Phone
Name of Owner
Architect
Engineer jJp� Address
Contractor / 11- p � &fl?O Address e2� 1 '7 St 1924 3 Phon 3--,34---.2,
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 � e - /Y.% .%2 — „7/ 7
La— 17 ,W / (/.P eLk,Le, 1 70 / a - e-&-4
DESCRIPTION OF WORK: New X Addition/ Remodel Moving BId Zone, / Fire ZZ rGGCf Lf
Size of Lot 1,,,,-)'0"/1,,,,-)'0"/f x _ �3 �` / 'X Sewage System / const. g _ �.
Stories �Dimensions 41 — / �X �7`' Total Sq. Ft / � aluatio�i �S0
Rooms -..) Baths / Basement ----
I 1,04"
dation Const Chimney Fireplace
Fufl, part, non (Kind) (Numbers ,�
�� . Type of Roofing/��n _Exit. Finish Int. Wall Finish /C_
Zjf-424lee _ ,d %t G%'d -15-1 ! ����� .' No. of Units _ Bedroo
�jl , PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; mens
tem and water supply lines.
Heat. System
Use of Bldg.
m
H
NORTH
road locations; (3) location of existing and
ions of buildings; (6) location of sewagepk
State License No. /
RESIDENTIAL — COMMERCIAL
SOUTH
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby %cer ify infor tion sub ed is correct and there are no other s ruc ures located on this property except
as shown.\ �� � .�� �7 S�
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number Issued
ORemarks
The zone is �'
�G
Building Permit) j' 3 Receipt 1/7 IIssued
din. 72
Form 523 Bldg. Code
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OCT 2 ;7, 1975
HEALTH \
Fa.P. APPROVAL ONLY
FC),. .10, lEALTH
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