1975, 08-07 Permit App: L1081 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
kindinl or�altter anylbuiuse or lding orsstructurre alreadyit srequired erected, ory touct�gesal land use. erect
Constiuctionnmust 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.
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
pFe/A, c�
Name of Owner , - Address -_.7_4--cd hone -2 r'SdJ
Architect
Address Phone
Engineer /} /� Address Phone
Contracto(?c y�'-> � -mow Address `w � • Phone
I"' 0 6 H-o7i
Leap;
Description
i�� ( pe� G�i�ye�C�ompl�et� des"? rom eed, a�� etc) d � '�
O re �/ biro 54 i / /
DESCRIPTION OF WORK: New Addition Remoodd.. del Moving BllZone / Fire Zone
Size of Lot 45--13-.27 Y=X-9.-2,9 ,V ` �v /t 3%� Sewage system -t
^� / .onc., Br., etc.
O
Stories /Dimensions � F 2 47 Total Sq F _- � � Valuation
Rooms Ba s Basement Fo ation Const Chimney Fire lace
Fu 1, part, nonce y- d) (Numbey�
Heat. Sys T pe of Roofing Ext Finish / '/ Int Wall(KinFinish ,d•-a�L�X
Use of Bldg. �� �
�No of Units.—Bed oms
PLOTLAN
Draw sketch withdimensions distances to property linesrty andlines;
streets; (5)reet or road dimensions of buildings; (3)
(6)6location of loction ofexisting
an
sewagesys-
tempandd buildings;
(4)
tem and water supply lines.
I hereby e
as shown.
State License No.
)23-0/- /9J/a.
Ind. Ins. Acct. No.
0
REQ
Plumbing Permit
Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
t and there are no other structures located on this property except
er or Ages
A LAND USE OR STRUCTURE
THIS IS NOT A PERMIT.
04,1J 3/14.p
Your street address will be / O 7 /0 g `v
Sewage Permit Number Issued
Remarks
Date
RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION, COMMENCES.
DO NOT WRITE BELOW THIS LINE
Building
The zone is
Receipt 9/J
Issued
Form 523 Bldg. Code