1975, 11-21 Permit App: L2153 Residence 7 ,..
Coanfy of Spokane, Washington `
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BUILDINV CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
SO
APIO.LICATION FOR LAND USE OR STRUCTURE PERMIT i
GENERAL REQUIREMENTS PERMIT FEE _ `J
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 USO. 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, permiggion must be obtained from the County Engineer's orrice,
WINO SIET M. Permits arc required in all Canes by County Resolutions Nog, 4b-144l i1 47.235.
SET-[SACK PROM PROPERTY LINED. In most 26nes g.nd Udder most circumstances, a set-back from the front property line, qt at
least 25' is r?Quirod, a 5' side yard, 15' side yard from a flanking street, and a 25' roar yard are required,
STATE HIGHWAYS_ Where the structure abuts a State Highway, clearance must be obtained pertaining to set-back and incress
and egress.
COUNT`ROADS. Work 6h street right-of-way may not be performed until utskod by OQMIty Rand Qepartment and work m t be ,
zwformed in accordance with ntakou, manta /If iaBrfld AA4 niyrsss miint be approved by the County Engineer_
MIN OF BUILDINGS. A permit is reunited to move an eiisfins building_ when u building in mb,ed Ah a County or State
Highway, clearance mast be obtained from the county Engineer undfue rstatn many iItPutti nt.
ACCKESOKY BUILDINGS, Accessary buildings (A4r4ge6, sheds, etc.} require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedieatlone and eallebents 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
fwner i U s .r C. , 13 C "" Addr000 !S ) .? , , .'r-7irre«l Peoria%? -7,fY'`
Architect
n Tile my3 i ,- ra s+ S f n r ----Address -- Phone
Engineer T _ MilriAn none
—
Getltrnct*r - Address _ Plane
t
Lain' Description of rroperty (Glue eomplete.deeptiptian train ziQag tll hifi6ist, e.) -� r - , - Z-EF''U
fes•-- - , 1 ' =_____=.
-1 _. f- - s / --
a,1�
6ESORIPTION OF{Nosh= New f Addition Romodul MOVing--- Bldg. Zone / Fire zone a
Si/e of Lot k O r J- I 71 CI
Seruage system s 7` mitt, � GC .r .
,(;),4,-,, Fr Cone..
Ur., etc.!
Stories J .Dimensions -1 's- I`0 J d a,` „7-. , Total �..J,/ S� ` ��
fiooms Sq. Ft. Valuation 7� -i� � G sa
Baths Basement 15� Foundation Collet.t -L---c-P_-^-i Chimneyr .J Fire Iac '
Full, port. none P @
Heat_ System T. TypoRoafin S d7 1 (Kind)lin (Number
of g Eat. Finish �-- lJ 1 Int. wall Finish /9.--- y�ct__f I
Use of gldq. ,�-,o'nL Ql l ,11 - No. of Units_Bedrooms }
lffl PLOT PLAN /
bras sketch with dimensions showing: (1) property linen; (2) street or road locations; (3) location of existing id
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH RESIDENTIAL-COMMERCIAL State Liveeow Nv.
Ins, Ins, Acct. Nv.
REQUIRED
120 Plumbing Permit
i,it w+ Heating Permit
m
to re.*e Sewage Permit
-I , 1
&// Plans Received
���///���///////// ...?' '
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. / .
/iA2/ 7..%
Owner or Agent Date !!!
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
JIL,t,74iCat2,d0/0 9',20[,/ DO NOT WRITE BELOW THIS LINE
Your street address will be -47174751n d 7a.--(2-974,, _____The zone is �. rl�i.Sewage Permit Number Issued Building Permit Receipt fl / 7 ' /_sued
Remarks �/,1)
Form 523 Bldg. Code
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