1975, 09-29 Permit App: L1648 ResidenceIp
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201,4 00
APPLICATION FOR LAND USE OR STRUCTURE PERMIT �
GENERAL REQUIREMENTS PERMIT FEE ------
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FEIIMIT REQUIRED. A lead we 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 lead use. Construction West znnform with the
Spokane County Building Code and Zoning Ordinance. Construction Is subject to inspection.
WATER. Water supply must be approved by the County end State Health Departments. Where work mwater 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 case. by County Resolutions Has. 45433 athd 49235.
SETBACK FROM PROPERTY LINES. In net sones antl under most circumstances, a setback 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-,mv may out be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingre.s and egress meet 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
Higbeu, 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. guilders should check provisions of covenants or dedications and easements ranging 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 qq{ la (o
Name of Owner;
Architect
Engineer
Contractor
Legal Descrip(im of
I . , ,
rr
_.ti --e snow¢¢¢ )t_/02J0 Phma
_ Address
_ Address
_ Address
from deed. tax receipt, etc.)
Phone
DESCRIPTION OF WORN: New v Addition Remodel Moving BI e -
2me� Fire Zone
Size of Lot 7 U / 3 6 �� Sewage System � 1 ''b Wirm Conc., Br., etc.) ` A¢
Stories Dimensions -? f X 7 } y A' 2 5 Total Sq. Ft. Valuation
Roans �_ Baths y Basement I Foundation Const. Chimney Fireplace umber`
Fu , pert, none INintll IN
Heat. System - ype of Rmfing-a-.-++ �Z Ezc Finish Inv Well Finish
Use of Bldg. No Units _ Bedrooms S
PLOT PLAN`
Draw sketch with dimensions showing: (1) property lines; (2) street or road
Proposed buildings; (4) distance to property lines and streets; (5) dimensions
tem and water supply limes.
NORTH
I
1
_- _/-..__2-3
N
N
os; (3) location of existing and
Us; (8) location of sewage sys-
Beane Liceaee No.
z?3-6X—sa>8
I 1 e. Aeet. No.
Plumbing Perm
Heating Permit
Sewage Permit
Plans Received
Plans Checked.
Plans Returned
Plans Picked U)
SOUTH
I hereby certify information submitted is correct and there are no other structures located 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 NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Teur street address will be ( (cn- The sane 1s
Se 90 Permit Number Issued Building Pernly,r bye' Receipt
Real
= aldR. Code
I