1975, 08-27 Permit App: L1345 ResidenceAPPROVED As NOT 1 • .
1
pPPR ounty
Spokane `'dam Code Dept.
S County of Spokane, Washington
RTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
Date
by
G CODES DEP
ATION FOR LAND USE OR STRUCTURE PERMIT
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 mast 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
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
Name of Owner .� V.049f7 1 Address
Architect Address Phone
Engineer Address Phone ,, Qom,'
Contractor Address -4 ' Phone` -`R "`"'" "
Leg,I Descry on of Property (Gia complete description from deed, tax receipt, etc) 1 — —0 e9" U /
/y{nt�7' < /
..n `- Y —r-er ..¢-- — ���.kaa-r-•-6LP�,. 1 ql � B, / 9' /� / Ly4.R- 4 to !- 3'5/-xr—. xV
p. .' /'%l/� ,,, i/ti'q r -Z.44 n
lan 'L 1 V .fLe r�o�Xo Phone X4"4'66
DESCRIPTION OF WO5K: New Addition Remodel Moving Bldg. Zone ( Fire Zone
Size of Lot s'f " x 3g7 Sewage System & /�+�onst. FK
(Fr., Conc., r�tc.)
Stories Dimensions -1/4/ / )( a 4 0 , Cir — 20 x 9 0 Total Sq Ft /5-0 d aluation''3' 4 00
Rooms Baths Basement fi//! Foundation Const c v n c.—eT ChimneyFireplace 1 `/c -S"
Full, part, none) (Kind) (Numbers
Heat. System
Use of Bldg.
Type of Roofing Ext. Finish
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 streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
State License No.
Int. Wall Finis `
No. of Units Bedrooms
I (!'0'.7` /=: n , o h , fs.7 /ate y a,= ,,3a, s p ..,.
NORTH ,R€SID TI¢L,,— COMMERCIAL
54,
1a.5 I
'�
Plumbing Pe
WI Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify infopmation submitted ,ds correct and there are no other structures located on this property except
7�
Date
A LAND USE OR STRUCTURE PERMIMUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown.
v
Owner or Agent
DO NOT WRITE BELOW THIS LINE
< /
Your street address will be /-'D az ' st _ The zone is
Sewage Permit Number Issued Building Permit
'3(.0 Receipt ()3 G% Issued
Remarks
Form 523 Bldg. Code