1975, 06-05 Permit App: L0296 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 Da
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7
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
uired.
least 25' is required, a 5' side yard, 15' side yard from a flanking
street, and a must be obtained, rear yard are pertaining to set�ba k and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must 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.
which lareVenforce enforceable Builders
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APPLICANT FILL IN BELOW THIS LINE 9 4,it Liz.- q _i C,
4�""��
7 -Address 1 A /� _.,phone�irr.I'y (p� ane?
Name of Owner Phone
Architect Phone Engineer �j
Contractor R.
4L, 'Address /72i-` ,j /9 ""e/t Phone Gt..�/9 1-;,...040.0
Legal Description of Property (Give complete descriptionrfrom deed, tax receipt, etc.) ;4.— E -
I-` FI �^ 00 � 0 / -
�O• -� i�� h,�
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone I Fire Zone
1/� i Sewage System �� 07-. L 7; Stories
Size of xaluatior �✓ ®()
Const 81071 Dimensions ..3..�1 �'► iIA 1 Total Sq. Ft
(Frame,concrete,brick,etc.) ee 'y Chim> 7iV/ZpAr Fire* ce all,'
Rooms_ Baths - Basement /� -Foundation Cons . ��' "\ / (Kind) , 'Number)
ZZA•Z(Full, part, none) //�� ( %-11/k7:40144...
A
Heat. System
.geWi21 Type of RoofingaWiff cr ', Ext. Finish T- /,/� Int.Wall Finish , �/1/ �4 01
2t� ,r• No. of Units Bedrooms
Use of Bldg' �°`
/moi � �',,/,-Lk- Private Detatched
Garage or Carport Attached �7"�
a) 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. State License No.
i, Li NORTH /�
17 A
'4Ind. Ins. Acct. No.
4' c........_„,.
. . "
REQUIRED
/Qr
1 ® Plumbing Permit
[g 1E; Heating Permit
mli\lk _ H Sewage Permit
411-4 1,4
• Plans Received
i \vK
'V 1® - 1 Plans Checked
Q1 t Plans Returned
• ` aPlans Picked Up
e ;
Plans Mailed
II'
SOUTH
I re certify informatio Ss bmitte its correct and there are no other struct es located on thisisprop
yerty except
as shown. ._ f %a //,.7 —
O� d CC
Owner or Agdnt Date
A LAND SE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEF CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be __ ,,0 -:- ri . 7._ ' re zone is 1. i- 1 -Al -
Sewage Permit Number Issued Building Permit / 0.),K. ''b'-
Receipt -
Issued
Remarks
Form 523 Bldg. Code