1975, 10-27 Permit App: L1931 Residence S .� S.
S.
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT / (qc,
GENERAL REQUIREMENTS PERMIT FEE �Li
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.
SEW,14 SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
.064-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
i ,,Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
' �I 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
`c.,C') ich are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
N. CLi APPLICANT FILL IN BELOW THIS LINE
vName of Owner a'. /2 S )- A.Slc-..)( /rtr-Zr L_Address /Z%� r �P,P)9Gt/E Phone %fid' _,d
vArchitect Phone Engineer Phone
C Contractor 5-Ail/ - Address -sit in Phone 15J1>vle—
N. Legal Description of Property (Give complete description from deed, tax receipt, etc.) ewc-/7i .2 gr, /= •
•
`) ,i dP PM ,h'c.C-7-71 1--PIC /=% CSA 72,Jc7- /1$ //w r -p' V Z1',,,-s- 7- /-=',1X475 /R1216f3170.
_.—1-0-1c.T-3 L AC(la T Z ai4 c-7— 3 /-T
d'd' s/ern.-
DESCRIPTION OF WORK:New ?� Addition Remodel Moving Bldg.Zone / Fire Zone
y
"-'Size of Lot c901..C" 1 X y 6 7 `
Sewage Syste/7-Yg ,7 c- Stories /
Const. .e/1,77e Dimensions d' $- - 2-2-x zZ CII Total Sq. Ft. i fir,) Valuation 1',9.I77
(Frame,concrete,brick,etc.)
Rooms Baths ?Basement Pt/<i-Foundation Const. /"C'A c-/2_( 7Z Chimney nyis/-x.ec fireplace 2—
(Full, part, none) (Kind) / (Number)
Heat. System,4- /IL( Type of Roofing Ct''ii Pcacir72,. xt. Finish F.e44I- Int.Wall Finish .- /H[ C.
2 Use of Bldg. !d-/DINT/f} L--
�� 1� No. of Units Bedrooms�"�
Garage ort Attached E/9.- 4 7?7 c,vL0 Private Detatched
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. f
NORTH .„ ��' ice j c ic'.�.`
, I _ IMENEIM
11� i EMI=
r
REQUIRED
s. NW
4 Plumbing Permit Fr a, S.rli L
L ris Heating Permit a°/9Z/�[.'L Ste!/7-4
'" a
N c4N Sewage Permit
%1 "4 I Plans Received
42 ' � Plans Checked
1 v Plans Returned
Plans Picked Up
'L Plans Mailed
SOUTH L•
I hereby certify informatio su itted is correct and there are no other structures located on this property except
as show)!:
241,2-a
' %- -e-e 7e' z 7 7�. —
Owner or Agent /
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
in '1A DO NOT WRITE BELOW THI LINE
t-7AA 17 Your street address will be , -----et-1 J C. -
.e zone is
Sewage Permit ��ber Iss •, Building Permi , Receipt Cr%1� Iss ed
Remarks ,.I ' /_•,
Iii
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Form 523 Bldg. Code
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