1975, 12-19 Permit App: L2335 ResidenceCadyof Spokane. Wash9ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT y
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 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 LINE
Name of Owner
Architect
Engineer
,L ',QAay //,.r
Contractor
Address
Address
Address
J Address 1?Tot' Loy 11c/ %fi?r
Legal Description of Property (Give complete description from deed, tax receipt, etc )
1 a / A3 /O �✓ K / 12/•0. p / n so,3 je;44/' Z-
p.I,P r' . / 4/0 - - O/oP
71 t 5,09, /1-,Q
,c, e, ,4a/, -
Phone 2:2-e-,/
Phone
Phone
Phone 7s --- (J-d�
DESCRIPTION OF WORK: New
Addition
Size of Lot 3-041--- 3
Stories 4.7 Dimensions
Rooms Baths
Ful
Remodel
Moving
3`/Y 27P—
Basement
-
Basement f/R/Za/Foundation
I, part, none)
Bldg. Zone / Fire Zone
Sewage System ser 77C- Const. F� e
(Fr., Conc., Br., etc.) ac.
Total Sq. Ft --226C, Valuation 4'S oaa
C/i t TC
Chimney 1,e. tX Fireplace /
(Kind) (Number
Int. Wall Finish Pio/k-,a//
No. of Units L Bedrooms
Heat. System �.
Use of Bldg. 7ie ssr
Const
Type of Roofing of /0
Rea.
Ext. Finish
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
�RESIDENTII L — COMMERCIAL
_/7, e 4,1
I hereby certify infor
as shown.
SOUTH
n submitted is torr t and there are
Agent
m
tr
State License No.
3 — 2/ — /y 4/_?
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit s Y `l7,
Heating Permit
Sewage Permit C,-1,q./1/A----0<
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
/,2 —/ `e -- si
Date
CONSTRUCTION COMMENCES.
A LAND USE OR S CTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PER IT.
Tour street address will be . j-/-C-Ito:-- f(
Sewage Permit Number Issued Building Permi
Remarks
DO NOT WRITE BELOW THIS LINE
/The zone is (474,Ct.c - LU'
Receipt /G SI7 Issued
Form 523 Bldo. Code
i•