1975, 09-21 Permit App: L1644 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT0-0
~7
GENERAL REQUIREMENTS PERMIT FEE._ l
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
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 L L:,{'r i /d.M E_ Address �7L) f: /� 'Z�x L c'i Phone V9 -69-97
Architect Address Phone
Engineer Address Phone
Contractor Fr /VK 4/1A 1)0E4/ Address /7c-2/ & -ji 'L c-L+' Phone el-11F l 97
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Q,/'!t — d05-44- 04 tC) - D' 4I
u c� L-c T 1' t- 67-7 ,23. :- ' Gf Lor /3 f?c:.ocK. *
()Ali Ili' kill P/C)L.r
DESCRIPTION OF WORK: New n Addition Remodel Moving Bldg. Zone / Fire Zone
e (.. .
Size of Lot ?3.5 X �. Jr
Sewage System �� ConstC
(Fr., onc., Br., etc.)
Stories / Dimensions 2c2 X Total Sq. Ft. 81/6 Valuation ,23. icSl
Rooms �' Baths / Basement Lt�-t- Foundation Const. COA/I'SEC 1 Chimney Fireplace --`
(Full, part, none' n (Kind) (Number
Heat. System E 6 Type of Roofing l(il1P Ext. Finish 1/141VU Int. Wall Finish 4'F'- gn4 RAD
Use of Bldg. ' R tic Cs — F')O y to oLv.P, No. of Units_Bedrooms =2
LJ 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; . • : •- : • sewage sys-
tem and water supply lines.
NORTH State License No.
- o/ - l// �
Ino. Ins. Acct. No.9 6-Ta (I�� 1 (i/
A4114,, FI,002 & y e_
REQUIRED�J --
Plumbing Permit /'"/U&LL t a„.
- 4 m Heating Permit /ThJ 37R. / Dom'="e.„
N N Sewage Permit Tt cA
Plans Received
Skt CxiL� Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce if i formation submitted is correct and here are no other structures loc ted on this property except
as shown.
/ Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
'rn C DO NOTWRITE BELOW THIS LINE /]
Your street address will bei1- �D 3 0 9 ` . �_ a The zone is d
Sewage Permit Number Issued Building Permit Jgriffir Receipt Issued
Remarks
•
Form 523 Bldg. Code
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Basic:., Rancher Sq.Ft :846 Legal : Lot 14 and E 23.5' of Lot 13, Block 4, University Place
FHA Case#: Job #: 53 Address : East 9th
Mortgage Co: Bancshares SPECIAL INSTRUCTIONS:
Power Co: Water Co:
Eller
Plumber:Mueller Excavator: Rosa