1975, 10-16 Permit App: L1831 Residence Cosinty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ji+f.i
GENERAL REQUIREMENTS PERMIT FEE._T_�f'
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 t
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 ingre s
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.
W /� /� APPLICANT FILL IN BELOW THIS LINE /�idethe 238/174
Name of Owner , K - L•Q dr 0 T7-- /no, Address 6 l O �C, ✓e I / I1 Ilc ttriNe�LPhone 4 7- 70,S J
Architect Address Phone
Engineer Address Phone
Contractor Address D Pone s—
Legal a rip on of Pro rt (Give completed scription from e d, tax receipt, etc. / I ..Y5 iiii- /57b
v t /te/ 1/4 / S) rte c,�3 Y -."2- -
z —L-_1
DESCRIPTION OF WORK: New Addition Remodel Moving Bid.. Zone ( Fire one '."-----
Size
�
Size of Lot 9 Q x 1.-d ' `
Sewage System .�.: � Const. ��,
2 �) ,, /. 471.0, �.w (Fr., Conc., B ,/etc.) no
Stories Dimensions 11 X o / Totaal Sq. Ft. I t' “Ld -97) CC5.
! Valua ion �..
Rooms '7 Baths ,9j Basement Foundation Const.. Chimn- ' F- eplace
(Full, part, none n/� ' A amt.
Kind) (Number
Heat. System lGf' ell,?ttie of RoofingExt. Finish O.Y -wamt. Int. Wall Finish
Use of Bldg. '4 Lt'n(-t-_ - t ft/A A No. of Units_Bedrooms
`41/turit j'I
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 stream` (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
(d NORTH RESIDENTIALMMERCIAL State Lice a No.
1 l�� Ina. Ins. Acct. No.
-,765-1
Z�
REQUIRED
«
Plumbing Permitc.
in Heating Permit
in a
us N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her:: c fy ',fon,: ion ubmitte' is correct and there are no other structures located on this property except
as . „ ' •�
k / •, 0 V /4/42r”
Owner or :ent Date
A LAND USE OR STRUC URE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
0;,L, r^, x( `; DO NOTWRITE BELOW THIS LINE
Your street address will be S . 02 91 7 60(11j rt r--PO ti_CL The zone i s- ', - -<- ` :ii_ -^-
Sewage Permit Number Issued Building Permit �. I <'/ Receipt ik ' A,�Issued
k) Remarks
Form 523 Bldg. Code
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