1975, 08-27 Permit App: L1333 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._79--- `57
PERMIT REQUIRE. 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. 1
STA HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and ingr ss
a 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 LINEAif
Name of Owner 1 ,, % , - Address �/r t 4. el a Phoney
Architect Address Phone.
Engineer Address Phone
Contractor ,..k2<- t Address // JPhone
n
Legal D scion of Property Give omple es ipt�6n�fropt deed, tax receipt, etc.) _c275� —3hr&
DESCRIPTION OF WORK: New Addition Remodeloving Bldg. Zone Fire ne
Size of Lot ray;Td X 77P.r'K 4,1e3" )( DS-C.--,t,4 Sewage System ponst. L. I'1 ' -��,LL,, f� / r ` Fr., Conc. r.., etc.l L.
Stories.il�Oimensions "1'= ca�.(r� c / 'K o.-' l7" ,,yJo-t_al Sq. Ft, /'5-7'S Valuation
Rooms 7' Bathst----(7t711,Baset a Fou ati. Cort � 7n��Z Chimney Fi lace /
par117.n 4_1^i4/; ,.4 (Kind) (Number
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Heat. System W# pipe of fing xt. Finish 4/114-id Int. Wall Finish i t' 'C.(�
Use of Bldg. 4 - -,♦ ?/y _e_ �� Wir_e,/ J No. of Units_Bedro s
I pA i'l `1
O PLAN
Draw sketch with dimensions bowing: (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-
tem and water supply lines.
NORTH (IESIDENTIAL?COMMERCIAL State License No.
d293? 0/---/5 94111 �
Ind. Ins. Acct. No.
//g) -"c;27- Z1--
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REQUIRED
Plumbing Permit
n+ Heating Permit
m IP
QM N Sewage Permit
-4 -4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SO
I hereb certif info .,,tio s bmitted is corre tand there are no other structures located on this property except
as shown.
Owner or Agent Date
A L• D USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES
THE • IS NOT A PERMIT
(ice-n -1-- DO NOT WRITE BELOW THIS LINE d
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Your street address will be n �p� ..,....Q,,,,fr. . Alialt.' The zone is :� �i / /E/�i : /�_
Sewage Permit Number Issued Building Permit L/32) Receipt I #' •sued .
Remarks
Form 523 Bldg. Code .
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