1975, 07-24 Permit App: L0936 Residence•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
kindITnd orEQr altter anylbuilding orstructure
e alreadyit sererequired
ted dory touchangeResolution
land use. erect
Constructionnmust conformstructure
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.
leastk
25' isMrePRPERTY LNES. In mostquired, aI5' side yard,z15' side yardrfrom ircumstances,
rreearhe yardont arepropertrequireline, of at
mostd
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
e
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 s � x Addres ✓V L) /1 ` P..t Phone ' ��
Phone
Architect
Address
Address Phone
Engineer Phone
Contractor1, Z,14 ' Address J ,_ / —� ,7.-; /
Legal Description of Property (Give complete description from dee�,,tax receipt, etc) l�saC
/C i17— (" C ✓U, • - 'tJ f, t -,4-4 (AAA
DESCRIPTION OF WORK: Ne7 )( Addition Remodel
Size of Lot ?j/X 0 4'
Moving Bldg. Zoe / Fire -one ---
Sewage System _ ,I cConst. 7 -,4 -4 -2'14 -"4 -
(Fr.,
4-4-2'14-`4(Fr., Conc., Br., etc.) e9!
Total Sq. Ft
✓C)O aui I aton '''-e57iL'//)
Stories _—Dimensions
/
Roomsr
Baths / Basement .4 IY Foundation
r (Full, part, none)
Heat. System ^ _ '. - • Type,of Roofing
Use of Bldg. ,L, gds ▪ Ate" t1
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Const. ( G�"�%�'r^ ' Chimney' ' Fireplace /
(Kind) k (Nyfpber
Ext. Finish-714%tn°i--/t,14. --tom Int. Wall Finish ,).04- i�l� r/ '
No. of Units _ Bedrooms 3
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-
RESID"NTIAL — COMMERCIAL
SOU
I hereby certify information submitted
as shown./ 5")�.Y
4
Oiner or Agent
State License No.
0r— N_,; 1/.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Ze12.
Your street address will be
Sewage Permit Number Issued Building Permi
Remarks
DO NOT WRITE BELOW THIS LINE
The zone is ! �'. sz L-� �� /,✓ r�/if It k
Receipt i) 24.)
Issued