1975, 11-12 Permit App: L2052 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 __ an
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building o 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 47.235.
ISET-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. t,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingreh
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.
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 5 c)-6
1 ,'
Nameof OwnerQ
.l .:a A A C Addr Phone
ArchitectAddress ___.__ __ Phone
fr
Engineer Address Phone
1 // /0 �/ /I /-1-- // /.1 1/ / /
Contractor Address — —_____ Ph. - •
Lega Des ription of Property (Give co i.lete description om dee., tax receipt, etc.) 0 i _ 4°.__...A -
; ..2 — 0 .25
DESCRIPTION OF WOF,J(: New Additiin Remodel — Moving— BI . Zone / Fire Zone
Size of Lot So X /74°"°R / / Sewage Syste Const J (Fr., Conc., Br. etc.
Stories.Dimensions X2 y /!`ih[I _).2 �i 2 7 Total Sq. Ft. -f' Valuatio •�
Rooms __ _Baths — Basemenveil 4 Foundatiop Const. ��Y G -6.._--Chimne 1/ Fireplace
(Full, part, n • Kin. (Num er
Heat. System •. Type of Roofing / xt. Finis Int. Wall Finish ]� 'L 1
Use of Bldg. �Z/f�yG. /�/y/� ,r ci e/ 7 No. of Units"Bedr000ms f
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.
NORTH State License No.
O/ 99a3
I . Ins. Acct. No.
, r Zi/V Ar/,,i,9
REQUy
Plumbing PermI ED
m Heating Permit + A . .4,,-
m a ,
to H Sewage Permit L
♦ -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby • ti n 'rmatio/ is-ubmitt•d is correct n there a no other structures located on thy property except)
as shown. / / / 44
4
" /A 7r
t / Owner or Agent Date
A LAND 1 •R STRUCTURE PERMIT MUST BE ON THE EMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6At, 0_10 DO NOT WRITE BELOW THIS LINE
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Your street address will be / • .5 / _S_ !p(A)Or
V •
The zone is''^ /AL- —/—...d.....2
Sewage Permit Number issued Building Permit Receipt �d`t'� Issued
Remarks
Form 523 Bldg. Code
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