1975, 06-23 Permit App: L0609 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT P )
i
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.
i 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.
last 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
olATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingress
d egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be t
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 BELOWnTHIS LINE
Name of Owner -11-1--,,...--a
(11.1-1A-$4.--1. '. / - -7 Address 7( [j
`ir.1e,g Phone 314..„*.'?-- L ! 2
Architect r✓ Address Phone
Engineer Address Phone .
Contractors - Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
\ - _ .--- '72-
..
DESCRIPTION OFcWORK: New Addition Remodel Moving Bldg. Zone _ Fire Zone
' �
Size of Lot �e'C,��.�5 �a o'? X �'� �/ Sewage System �+C2�����'L�j �FrnsCon ., Br., etc.)
tories 1tLlb e Bions .3 E X._ `l /y. j S -ii X 1S` Total Sq. Ft.'/ �^'— Valuatior!Td C)
Rooms 'r? Baths— Basement 17"1,-- Foundation Const. C-el-- —Chimney Fireplace /
(Full, part, none) _ (Kind) (Number
Ext. Finish / I - / t Int. Wall Finish
Heat. System F. }j-, Type of Roofing +°1 (JQ,
Use of Bldg. Bie - ` v ',>,.,.�,,,,_ _ No. of Units_Bedrooms Z•
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 Cense No.
(:-."3/L/
f�V Iad. Ins. acct. No.
)4°'
j 066(i (1____
REQUIRED
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Plumbing Permit
fiarim)
nr Heating Permit .
N N Sewage Permit
-i -I
Plans Received
Plans Checked
e
Plans Returned
Plans Picked Up
Plans Mailed
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SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. /' 3 7 J.-
-Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
9,u -74t,(242-0 DO NOT WRITE BELOW THIS LINE 1
Your street address will be /30e) •7 ,,:....,4 ��,A,,f�''r«
. ,.t..*•— �' The zone is - y ......._( ,...,_,
Sewage Permit Number Issued Buixding Permit f7 1_''l:- i Receipt 97U 4 Issued
t Remarks / . r _ s_ - r ,
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Form 523 Bldg. Code
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