1975, 11-10 Permit App: L2060 Residence9 1
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99401
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 47.235.
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 442--0(9
Name of Owner b!/ /� S' /iS-ib C . Address dC SAX -46 _ Phone 9.211- 3-190
Architect Phone Engineer Phone
Contractor -TV 47e— Address S'A/1'1G,Phone S1109~L
Legal Description of Property (Give complete de cription from deed, tax receipt, etc.) % O r' 6
LA,vdiI-al #CA Cs ^/D Apo,, n o rir cc_�
DESCRIPTION OF WOR5: New,� ✓
Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 1490 )e, / L p
Sewage System $U.Or*tG Stories �
Const. FQ/9A'll. Dimensions GA409GE, ✓NKK Total Sq. Ft.e)l Valuation -/ Z SND .
(Frame, concrete, brick, etc.)
Rooms�Baths 2 Basement Foundation Const. GLvov GLL?-X_ Chimney ireplace2,._
(Full, part, none) (Kind) f (Number)
Heat. System A L L 94— Type of Roofing SP 51111 KG Ext. Finish J�9,d Wjek- Int. Wall Finish
Use of Bldg.�S- 16A A/� -' -
f No. of Units Bedroom
Gera or Carport Attached —
PLOT PLA
Draw sketch with dimensions showing: (1) property lines; (2)
�7t(3) location of xisting and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
n it23-0-Z 7 7/
Ind. Ins. Acct. No.
SOUTH
REQUIRED
Plumbing Permit --&AD xU -e—
en Heating Permit
HSewage Permit
-4
Plans Receive
Plans Checke
Plans Return
Plans Picked
Plans Mailed
I hereby certify informations mi ed is correct and there are no other structures located on this property except
as shown. Id
7
Owner or Agent Da(e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRJTE BELOW THIS
Your street address will be e zone is `C!- J- .
Sewage Permit Number Issued Building PernAt Receipt 4[L!4 �, Issued
Remarks
Form 523 Bldg. Code