1975, 12-05 Permit App: L2245 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITI�7 i
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, o 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
Der4ormed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOTNG OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Higaway, 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 Owner C i -A//E iJOti4 5 L'C. Address 9'7 E- i' . ' �t - Phone -' -cC'516`G
Architect Address C,, Phone
Engineer Address Phone
Contractor FR.9 ii/JC Ali DP r=.i Address 11 c.2l e 72wI4 IL yi Phone 9 2 9 -t' Y.197
Legal escripti Property (Give complete de c iption from deed, tax receipt, etc.) 912/
. ) --/' at .( &0 _ '
I--t)7- 17 a I vai /A1 . ,dee
DESCRIPTION OF WORK: New} >( Addition Remodel Moving— Bldg. Zone / Fire Zone :---1/
Size of Lot O ' X Qs' ' Sewage System ry+onst. �"4 4-"'"---c -
�3 (Fr., Conc., Brr.., etc.)
Stories Dimensions ��r X / r _Total Sq. Ft. V / valuatior� / °5?)b
Rooms it Baths_j___ Basement r,r.0 Foundation Const. d *r— ---Chimney Fireplace
(Full, part, none (Kind) (Number
Heat. System E,6'R Type of Roofing Cc.-.p Ext. Finish WIrv.D Int. Wall Finish SR tf 4 LC
Use of Bldg. P,1Lt, 1- ctJ?. — " O tj a--t�t�.e . No. of Units./Bedrooms
(/ 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 str-ets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. , State License No.
NORTH i ,
4;433 --o/ - /11
Ind. Ins. Acct. No.
Tc-tgi F�'is ttc '� - FT 3 / REQUIRED
/�
K Plumbing Permit/14(2112 t/
( . U /u /1 dili7A '-i,,4, m Heating Permit Al-illeA- 'e-fr
in
Vii
N H Sewage Permit G JJ0,1 /l ()SCi .
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is co rect and there are no other structures located on this property except
as shown. —7
Owner or Agent I Date
A LAND USE OR STRUCTURE PE. I . MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
J DO )NOT WRITE BELOW THIS LINE
Your street address will be / (,J O 7 t--. ‘,()a//es/- The zone is/�(/ / ' /
Sewage Permit Number Issued Building Permi Receipt•
f/i d / Issued
- "
914-'...
Form 523 Bldg. Code
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Bas i cKancher Sy.Ft : $�6 Le a l : Lot 17, B 1, Wellesley Manor 3rd .Ate "
i°� g
FHA .Case1': Job ': 77
_� Address : _ `
East Wellesley Avenue
1 Mortgage Co: Bancshares SPECIAL INSTRUCTIONS :
Trent-
IPower Co: WWP Water Co: wood
E11ci
P 1 umber: ivlueller. Excavator:
Rosa j