1975, 12-05 Permit App: L2243 Residence County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT r� #,....e..?„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
lind 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
Name of OwnerCE !_. LiD� , ,.�-,l/c• Address 57.2,3 E Si}te_ctn I:.t. Phone �6-(c ccc
Architect Address (/ 0 4279a0(c Phone
Engineer Address Phone
Contractor F R/i 4'k 4'1g!DD L 44' Address n0.l.1 E k1 t C4.it 99021L.Phone `7079 G 5,L97
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
712.4.0d &' ,3(v --
41.7-7- .2/ , i / , hili L, /ftr}, -_ A,, 4Id .tz ,
DESCRIPTION OF WORK: NewK Addition Remodel Moving Bldg. Zone / Fire Zone a
r
Size of Lot 946 X Ix?' / Sewage System ,.ter--c-r-- onst. F/►ff-�-2
(,� p c� (Fr., Conc..E Br., etc.)
Stories e9 Dimensions g,:27 X c" ' n Total Sq. Ft.tI C? / Valuatiorf -50 6
—
Rooms Baths Basement Foundation Const. C f14 -ftp Chimney Fireplace
Full, part, none) _/'1_ > (Kind) 02 Nu (-(Number
Heat. System E 8 8 Type of Roofing lb/Y,/� Ext. Finish hi7,-o Int. Wall Finish t( Leilil
Use of Bldg. �E21f le.Enu�.. --- h l�Ctit_G aR� No. of Units l Bedrooms
(J QPLOT 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 I < / / State License No.
9' (33 -- o/ -///ate
Ind. Ins. Acct. No.
/627, 6-7-Z
1 h-T-A L, FtMs b £ci) Fr KL ?
REQUIREDj
(_cee-t. ez/�"-""�"u`� C�'` Plumbing Permit "! �-7'��
in Heating Permit 4 - LIVU.4j
i IP �
N m Sewage Permit L=�c,(
B
--t - /Pose
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Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. _ i
+ ✓< _
Owner or Agent ' Date
A LAND USE OR STRUCTURE PERM T UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE /BELOW THIS LINE /
Your street address will be I Y 0 0 3 E _ 1Le.//c! The zone s ,',. /L,./.4—,',. /L,./.4—.,"- t
Sewage Permit Number Issued Building Perm r, .- •1 Receipt (/ < Issued
Remarks
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Form 523 Bldg. Code
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SasrcRancher Sq.Ft : •846 237p Legal : Lot 21, Block 1, Wellesley Manor 3rd Addition
FHA Case1': Job ': 81 1 Address : East Wellesley Avenue
ftio r t g q e Co: Bancshares
SPECIAL INSTRUCTIONS :
Trent•;
11 Power Co: WWP Water Co: wood
1 Eliot
P 1 umber: Muellerl.Exca.v. ator: Rosa
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