1975, 08-04 Permit App: L1044 Residence —
% County of Spokane, Washington 1
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT li),- a=-
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.
1 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 ,'t
Name of Owner _ . 2 Address &Pa U1 iVeg 7)141%// Phone era-4-3.2e1
Architect ,a Phone Engineer Phone
(1
Contractor U tAL Fig 2 CON27' G.j�. Address ,G, ?R24 U2/2./Y /' 77 ,/6 -Phone 91* jf2 S
Legal Description of Property (Give c9mplete desc,r�iption fro deed, tax receipt, etc.)„ czj� ' -S- j- 3 2 — /c pz
Jr4.- K i j -- VAAL.
LLeY k21 , / ,GLS S
. ' — 4D:)in/,
DESCRIPTION OF WORK:New x Addition Remodel Moving Bid:.Zone / Fire Zone
1 Size of Lot Ch.1-0/l k' /20-o if ,,rr��,, Sewage System A A Stories i l2
Const. leAry Dimensions /�2'(o"X 2A1-0"t/,A Total Sq. Ft. r .. Valuation it a4 O X
(Fra ,concrete,brick,etc.) '' /�}� •
Rooms 6Baths Basement/r, EE Foundation Const. (0/✓e/24.f,E Chimney //77...._Fireplace /
/n
(Full, part, none) (Kind) (Number)
Heat. SystemfA, 64$ Type of Roofing .IirAtegr Ext. Finish WOOD Int.Wall Finish"DJTY4‘41-41,
Use of Bldg. iE56r/AWC-A.", r//4i7 c,1 64/2.4 az- No. of Units / Bedrooms 3
Garage or Carport Attached 47:4 /fez, Private Detatched
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-
and water supply lines.
.
NORTH "f--e---"a.-
�� State License No,
Ind. Ins. Acct. No.
,E
00 , . 3/734t0
REQUIREDgir
rr
Plumbing Permit ,�/I('l�Sc?wV' lr.
m Heating Permit N '7' ,t'r�f,--.
niX*
cn in Sewage Perini O e„dj_ I/&je_
- -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH •
ere.y cer y nfo matin, 'm'tted is correct and there are no other structures located on this property except
as shown. I 1 —
�v
Owner or ' 7 ,
Date
• AND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ark-, MA-0.4D DO NOT WRITE BELOW THIS LINE
Your street address will be !'t (f1[)t i-- IS _II I've. �, The zone is�� .�
ewage Permit Number Issued Building Permit ,-.`/L, GOeiteceiptO/e Issued
Recarks
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1
JJ Form
523 Bldg. Code
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