1975, 08-20 Permit App: L1279 ResidenceCounty 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 47235.
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 ____29;11 Lt i.% l7 Address S Z2 1 3 , X1"4' i Ph Phone 7 2 V1307
7
Architect Ma ,J e_ Address Phone
Engineer A/O
%
Contractor /47 he
Address Phone
Phon-92-, .V. -3-3-d?
Legal Description of Property (Five complete description from deed, }ax receipt, etc) i 0t- 6 840 Ck / c "41 .
/vy i ' ES/ R tes )4 ex -5 pe.--- gyp! 4 r 1110141.41e. / / pole_ 9/ c ° U i4.40o
,p psCctnEpi (7.1/-v iv- a -. .'1." !,"
M D frsIZ Address S 2 1 Z3 /4 Nul a n c
DESCRIPTION OF WORK: New A iti Remodel Moving BId-
Size of Lot 3000t + Sewage System �t onst. '-r,=-
_„(4.(2,
� ti'I
'r / i3 i ✓ �at�tt ;eaa (Fr., Conc., Br., etc.)
(:�/ 1.
stories _L'_Dimensions Z--"--- --�5 �'�'A �) j)'/ Total Sq. F.t. Valuation'1�7, l7� O
Rooms (G' Baths Basement tv1 Foundation Const_ (u'cc,hC-' Chimn y "`j' eplace
Full, rt, none ``/` �j • da,/f, . - (Kind) - l (Number
Heat. System +� KC -4,- .t Type of Roofing ,u e' Ext. Fi sh �4 ^ S -QLz Mt. Wall Finish`/ S / Fvr/ti /wN
Use of Bldg. ✓ in B S s 41 e rlG e- -- .0 e_ a i-41 ` , -_ - = y;- No. of Units -L Bedrooms 2---
Zane / Fire Zone
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations
proposed buildings; (4) distance to property lines and streets; (5) dimensions of building
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
c;1� yt 22 3.-02-/ 3/5e 9
; (3) location of existing and
s; (6) location of sewage sys-
State License No.
I hereby certjly informati
as shown.
SOUTH
ubmit
Owner or A
t
m
to
Ind. Ins. Acct. No.
3 L1
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is co rect and there are no other structure? located op this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
THIS IS NOT A PERMIT.
/IA_ 714A i<_(#(.)DO NOT WRITE BELOW THIS LINE
� • 7- c , Y J
o`
Date
BEFORE CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks
6' 1
Issued
The zone is�l /
Building Permit / Receipt / Issued
Form 523 Bldg. Code