1975, 12-08 Permit App: L2259 ResidenceCAty of Spokane, WasAton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
PERMIT/
Co
APPLICATION FOR LAND USE OR STRUCTURE
GENERAL REQUIREMENTS PERMIT FEE .... ... ...............:�
y...
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
(rind 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 and47235.
;SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
'rleast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where thestructure 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 most 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 I / rtr ,I c" F;'//=
p
t /
v Address 9 2'60X' 7 lv?-e- a -X Phone fZ�7X
Architect Address .P 3E/Y Phone
Engineer Address Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
/ 5' /d e.k r
DESCRIPTION OF WORK: New 'tom Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 1,6-0 t .ZSd — Sewage System onst. �Rgm
22 Fr., Conc., Br., etc.)
Stories Dimensions Xl+ d - Total Sq. FLaaluation Oe -0
Rooms a Baths3 Basement i Foundation Const. (�u nG.0+�� Chimney - l -i of Fireplace
Full, part, none Fl(Kind) (Number
Heat. System C Q.6, Type offing �D �+'rj�• Ext. Finish vim- II/ .Int. Wall Finish � •/ K'/"//
,
Use of Bldg. �� No. of Units L Bedrooms
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.
/i
NORTH RESIDENTIAL — ERCIAL State License No.
(tel/ _�l -o - iy9Y3
Ind. Ins. Acct. N.
I he
t as shown.
A LA�
THIS IS
SOUTH
REQUIRED
Plumbing Permit �/•%'�
rn Heating Permit
NSewage Permit 0,9 A*6ge
J
Plans Received
Plans Checked.
Plans Returned
Plans Picked U
Plans Mailed
submitted is correct and there are no other structures located on this property except
Owner or Agen Date
OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
A PERMIT. _
Your street address'
Sewage Permit Number
1. Remarks
Form 523 Bldg. Code -
be.
Issued
DO NOT WRITE BELOW THIS LINE
Building Permit
The zone 1
Receipt Issued
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