1975, 04-11 Permit App: K7214 Pool County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Y �i_..
GENERAL REQUIREMENTS PERMIT FEE /`"3 '
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a builditg 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 trop; property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard a••e required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining tc 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 movec 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.
ri 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 LINNET/
Name of Owner / . . " ' , ' r 0 , Address M t+s.*!� _ F'hone Z51"' t.5-7069110
Architect Address _ Phone
Engineer /� Address / %'�� �: Phone (� -0931
7
Contractor �' e' Address 7 3' E 4l+AC" �7Phone /.h 0 9 1
Legal Descr;ption of Propert`( ive c.m to description from dee., if re.•ipt, etc.) L2.<tw.e /,; l Z (/1 Y6
,�..,. ,G mei/-1 i'. ._
/
DESCRIPTION OF WORK: New d Addition__ Remodel Moving-- Bldg. Zone __.7_._ Fire Zone ‘-�
Size of Lot / ?-s ei ^, hi/ . Sewage System •-7.1.-6) (.onst.
///}_ 4/(--) p�� (Fr., Con Br., etc.)
Stories Dimensions / 6 X O `6"+t„R� r4 Total Sq. Ft.64C/9 Valuatio 5J el's?,_ tC)
Rooms Baths '--- Basement Foundation Const. Chimney --- Fireplace
(Full, part, none— (Kind) (Number
Heat. System N wa._ Type of Roofing .. h
xt. Finish Int. Wall Fini:o
Use of Bldg. A A _.. /7 . „_ ._. le .. . ' No. of Units Bedrooms
(../kPLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) lo.ation of existing and
/ proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) 1>cation of sewage sys-
tem and water supply lines.
Sta.e icense No.
/4.1�s f, 6� 4
3 -5;
Ind Ins. Acct. No.
I
t HO it S' C c.-t- -f 1 a . 1--•—> 4d REQUIRED
Plumbing Permit
Heating Permit
i
r'
40!elSewage Pernt t="":'•
aI'
Plans Received
i Plans """ ' _.
y•2t, ,A1---÷ 1 1, I } '- 5 3 . ?} Plans Returneid _""�--
o-J 1 .t. Plans Picked Up
1 i 1 Plans Mailed
.
-13011114
Eedtal—
I hereby certify information subm•tte is correct and there are no other structures located on this property except
as shown. o2-6L `41 ,- /7
ner or� Date n
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES
BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be AI 7..,j— `-� ( ( L [ Cc.-'r ` The zone is ( C ?- L
Sewage Permit Number _ Issued Building Permit .3(--.A) Zr�Receipt / sued
Remarks
Form 523 Bldg. Code