1975, 10-30 Permit App: L1947 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4 // a
GENERAL REQUIREMENTS PERMIT FEE 5!/
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.
cSET-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 ingr)ss
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work musTe
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.
��q APPLICANT FILL IN BELOW THIS LINE . gq
W ,s—
Name of Owner. , Jetot'1 4144--ti-S Address I __ s - ' kbe Phone 194 g-& 0 5a
Architect Address Phone
Engineer Address Phone
Contractor S-64-K12.— Address 5 hone /y
Legal Description of Property (Give complete description from deed, tax receipt, etc.) �' o? �34' I70�
t of l� �l� L�r� of r4ddlbt
DESCRIPTION OF WORK: New )JJ Addition Remodel Moving Bid . Zone Fire ne
Size of Lot 1474, • X /06 Sewage System i`C_ onst.
t� i
�Fr., Conc r., etc.) pp
Stories t Dimensions /r o{ - o� -� •,_‘.. - otal Sq. Ft. g�kValuatio to
Rooms Baths A Basement In Foundation Const. ../I- 4 ChimneyFireplace
ull, part, none 11 (Kind) + difi (Numbe
Heat. System i , Type of Roofing DSIGl6 Ext. Finish I' I --ii Int. Wall Finish
Use of Bldg. . 7 � 54,0 No.of Units_Bedro mss
PLOT PLAN 7i4444.4.44_4_
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 ands • (5) dimensions of buildings; (6) location of sewage s s
tem and water supply lines. • / d'
NORTH RESIDENTIAL — COMMERCIAL State License No.
q14\I ____'J I d. Ins. .cct. No.
)4121t fitete/AiteL
REQUIRED
Plumbing Permit 'j 6 PJ.0 �
m Heating Permit / l/ 1..„....6i....,_ ' !
�n -it I. /
H .��" to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce- . information subs,' ted is orrect and there are no other structur•s lo ated on this property except
as shown. •
/O ?S"
Owner or Agent Date
A LAND USE R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCE,
THIS IS NOT A PERMIT.
O� CaDO NOT WRITE BELOW THIS LINE /^
Your street address will be / NIS,/�... The zone a 4,-.C4- .
tJ
Sewage Permit Number Issued Building Permit - i"t7 Receipt Issued
Remarks
Form 523 Bldg. Code
!4 Y'tr A `,' ...
/51
Z 7.
H
N
2._o r z
C, o F f v T A 6.0/ /0/V
SR1KA A(L - C:0 u AYr y
Z3