1977, 02-15 Permit App: L6973 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKAIIIE, WASHINGTON 992011 ,
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 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 Owner lb7/0ftDM !fl 7 Address
Architect Address
Engineer M Address
Contractor (Sv02Dov[7^J0
Address
2323 q1 e2Pr
Legal Description of Property (Give complete descri tion from deed tax receipt, etc.)
LniI 6LcO& 3 £U.LL1v/4$. LOA
Phone •fl. '7 Z
Phone
Phone
Phone
SRM
P 1
a 3- 25 -44 -
DESCRIPTION OF RK: New Y- Addition Remodel Moving BIdyg. Zone / Fire Zone -j
Size of Lot I90 ' A PrIQ C x"'�����'
1 (Bo
f Sewage System / Frns Conc., r., c.
Stories Dimension 11 L. I -I- `i'O� ` k � I Total Sq Ft 1 t0 (Iytt.r±��tValuation
Rooms Baths ' r2- Basement r ULI_ Foundation Const CPItO rt' Chimney `-Fireplace 2 _ 'S ,
q� ull, part, nonce (K• (Number
Heat. System � �IT Type of Roofing Ext. FinishF1 - 11 Int Wall Finish i'9-.� Lib/ILL
L.
�Ulse of Bldg. i�L4 \ �/t/4 f^ No of Units_ Bedrooms -3
a /
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
ESIDENTIAL - COMMERCIAL
I hereby c-rrt"
as shown.
SOUTH
fy�infdrmation s.bmi.te.
• ales
_Uii i 1 4/
r ner or Agent
State License No.
&wb (n - 2.41 *tu
Ind. Ins. Acct. No.
REQUIRED ,l
Plumbing Permit ?,Rx -e.),3, o3
rw Heating Permit l . n 1
▪ Sewage Permit Lk EO A L. L.e y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
orrect and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6 DO NOT WRITE BELOW THIS LINE
?�+� / r// 0 att.ox_.. to
Your street address will be
Sewage Permit Number Issuedn
Remarks S-17 ' ' CC5}Tt M(A/d'TW.-U1it J -
Building Permit
ASal,14_rd) P. 1 d,
The zone, l%
Receipt -153 Issued
Form 523 Bldo. Code
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