1975, 10-31 Permit App: L1972 Addition County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 41 0-%
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, 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 a R I c_i, ' ,Twri i. bi--T S Address P. /417.1 3 — /2 u Phone 2.28-3711
Architect Address Phone
Engineer Address Phone
Contractor Wes if I.it S'1--'r s Qomsr-f.4 Cri 0 yi Address E, /063 •- /Sl K Phone 15-36--1?3/$-
Legal Descrip�t�i 11 of Property (Giv complete descri t'on from deed, tax receipt, etc.) a a 6 4'4' oG 0 .S/
DESCRIPTION OF WORK: New !••''---- Addition f/ Remodel Moving Bldg. Zone I Fire Zone
Size of Lot 54" ' X / 3 v ' Sewage System Const. `.----
_ (Fr., Concci, Br., etc.)
Stories Dimensions 5 ' X // / Total Sq. Ft. 53 Valuatiblri / '2Le,4122
Rooms PillitBathsBasement d�?_ Foundation Const..(rCN•e` r �`
Chimney Fireplace d" s"...
Full, part, none'' (Kind) (Nmber
Heat. System 4-0C-Cr Type of Roofing v Ext. Finish 4 $Q q Int. Wall Finish � ! A.
Use of Bldg. Ce-d,91 .fro- C.P.4x.�irL-E
t . No. of Units_Bedrooms
(/ nuc-°.,, 67 , 9 flat,. PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location . existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6 : ion of se' . :• sys-
tem and water supply lines.
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NORTH ESIDENTI -COMMERCIAL State License No.
03- 0/- /7-
s=-� I Ind.
�IIn-. A•ct. No.
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i
REQUIRED
I p / 1 Plumbing Permit
, x'- I3 r / a Heating Permit
FM us .' VH Sewage Permit
v 17 ME
/ I �U 711 e.../a i Plans Received
Plans Checked
1a,{, °Vow A'L J'C r ' h Plans Returned
0\/J\.f 1 ' I \ Plans Picked Up
1,\ I
p Plans Mailed
I"
rhSOUTH �/den �
I hereby certify information s .flitted is correct and there are no other structures located on this property except
s sh n
7/ -/r.- /d0,1 /_,I.:a,,/_.4/ #dn'l a g,...iA,1,.._-il
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE-itA �j _. j
Your street address will be E, /.q rJ a3 /- (�na•,t.c.� The zone is�_�J�.�`e-e.r.rl1.
Sewage Permit Number Issued Building Permit (pt.-Receipt /Issued
Remarks IIIJJJJ���� ` //
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