1975, 10-31 Permit App: L1974 Residence1
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 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.
Rs
nd
ents
ng with the land
whichlareVenforce enforceable throughrs civiluld check action. Countysions Officialsf ocanants or not bringdactionntosenforrcceecovenanttsior dedications.
Phone /'2 T'- (=> V97
Phone
Phone t�
Phone 41.79-ray/7
APPLICANT FILL IN BELOW THIS LINE
Name of Owner (Et(,Lj.—TI/ad-ff-S
Architect
Engineer
Contractor /=/1 r.t_4 2 ✓t! /4.0 o .4,
Legal Descripti f P rt (G omplete description from deed tax receipt etc )
I f) • a -get -/ Tel Q 4pojr7o_v /n
(
Address
Address
Address
Address / 70,21 C
on
catrope y ive c .
.1.3(11") k A 4../er P-c.c.-p,a-t(1 4/4 S1414/6 ISN
DESCRIPTION OF WORK: New I Addition Remodel Moving Bldg. Zone
Size of Lot 7s )( / 3 y-. k $ .1//Lx c CL -C__-) Sewage System �-.�02 Sr �—
I
Stories �-Dimensions �'( -.2 �%" /y�Total Sq. Ft PA,
Rooms _4_ Baths / Basement Foundation Const { F_, Chimney
(Full, part, none.l'
Heat. System a8 Type of Roofing Ohr t P Ext. Finish 16'OOcn
Use of Bldg. eQS J cti.^.-r2 t
8 (7'
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.
3
Fire Zone
�y+onst.
(Fr., Conc., Br., etc.)
Valuation 6 r '5D
Fireplace
(Kind) (Number
Int. Wall Finish
No. of Units 4Bedrooms
m
NORTH
TjTil Fl It/aft-EP
194
(.„c, A;bf—c,
Fr -
m
State License No.
x;23,`3 - cf - ///.16-
Ind.
//a2sInd. Ins. Acct. No.
sqc
REQUIRED '
Plumbing Permit /if,� ft '4-
/
Heating Permit )V�tt """ ����---�& ItJ
Sewage Permit ` �L
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here certify information submitted is correct and there are no other structures located on this property except
as shown
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
OA_ -74y%z, : /40,1b DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
The zone 1s l.( f f=ix C� �a
Receipt /) qd2 G=
Issued
Form 523 Bldg. Code
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