1975, 10-31 Permit App: L1971 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
d 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 f'p, qej.2,./Ga t�
�' Address Ma/ E t, / Lt.t Phone 9:2V -6T97
Name of Owner t?eJV►.t,CJ � ��JJ
Architect Address Phone
Engineer Address
Contractor F�,4/t
.K ' Onr•et Address
Legal Description ofProperty (Give complete description from deed, tax receipt, etc )
��,l P Lam,- 1 ..rte , IA- _)-13.,_
14i 7s' . L, -c
rg / b I Vt4& /1 P . r �--t4 s // n / Tl ory
1/I cpt7/C L}...o rp . 1,4 / (A 11 ; .,41-15 ,.)
DESCRIPTION OF WORK: New X Addition Remodel Moving BId Zone / Fire Zone
onst. TRA -r.,
�j (Fr., Co c., etc.)
Total Sq. Ft ' Valuation i �!� D
t
.Cti .4 p Chimney
'ulz
s
E
Phone p� p
Phone -,i=2lj{--b Y97
Size of Lot 6.S r3 y 6'5 / Sewage System
Stories A.Dimensions
3-9' x
Rooms _t___ /
Baths Basement FF -'.0 Foundation Const
C (Full, part, none) '' /
Heat. System G e 8 .Type of Roofing C,+�P Ext. Finish W f
Use of Bldg. , %r, 1, 1cc.ie,
0 PLOT PLAN
Fireplace
Draw sketch with dimensions showing: (1) property lines; (2) street or
proposed buildings; (4) distance to property lines and streets; (5) dimens
tem and water supply lines.
NORTH
TF16rrGI)
094,
SQ PT
(cut colirtzlz-,L okaA4A.--cd)
Int. Wall Finish
No. of Units 14. Bedrooms a
road locations; (3) location of existing and
ions of buildings; (6) location of sewage sys-
State License No.
33-o, - ///-25-
Ind. Ins. Acct. No.
CP9/ gqo1
REQUIRED
Plumbing Permit /'J
►� ^���,Y�tX�/
rn Heating Permit ,r( 1 T-'--'-.)
N Sewage Permit P//er �C
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby •.-rtify information submitted is correct and there are no other structures located on this property except
/ 0 --- . / �s
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.
(9/4.., y�� /4'// DO NOT WRITE BELOW THIS LINE
Your street address will be / I/ /71/e) ). o,,e{,,UCL, The zone is
Sewage Permit Number
Remarks
3ggy Building Permit, Receipt Q 9/., Issued
Form 523 Bldg. Code
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Sq. Ft: 84c j
Legal
FHA Case#: IJob #: �( ,address:
Mortgane Co: Bancshares
Power Co: STP
Water Co:
P 1 umber: Mueller
Trentwood
E1_1c111
Excavator: Rosa1
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saficaMiNNEIMENMeerig
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SPECIAL INSTRUCTIOMS:
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