1975, 06-26 Permit App: L0682 Residence I l
County of Spokane, Washington --,
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 0.0
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.
��r� APPLICANT FILL IN BELOW THIS LINE - /,
Name of Owner, 2IZ 1A./,d J -.2IL's. Address ..� / 1 ,Phone 7 2€ O
Architect Address Phone
Engineer Address `` N. `1/4 `Phone , \
Contractor t` vi. Address l% Phone
Legal Description of Property (Give c.mplete descriptio from deed, ax receipt, etc
123 ✓ 7
DESCRIPTION OF WORK: New Addition Remodel Moving BI.• Zone / Fire Zone
Size of Lot c]Q X ,"23 Sewage System '- I�" oust. ���
4� �/ (Fr., Conc., Br., etc.)
Stories 1 Dimensions Total Sq. t. Valuation - 13, d�T)
Rooms 6 Baths Basement riL2. Foundation Const. arAx:e£J'` Chimney. t Fireplace
FuII, part, none (Kind) (Number
Heat. System _. Type of Roofing .._ ,,-/►^ ��`� 4-.,r:L
� "' �.C��.S Ext. Finish f ""//'r Int. Wall Finish .(yr-y
Use of Bldg. / /27404-2).2 .4Z€. C 1f No. of Units Bedrooms/
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-
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL State License No.
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f-- 67/—
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/� Ind. Ins. Acct. No.
y REQUIRED
_- Plumbing Permit o./ ' F'4/
m Heating Permit
In ra
IA WWII Sewage Permit
-I -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cc t ' rmation submitted is correetand there re no other structures located on this property except
as shown. 1 )
j kit. lb). .i..._____ 6 -__2_ 6-7,5-3
0 ner or Agent Date
A LAND US • • TRUCTURE PERMIT MUST BE ON THE MISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT RMIT.
(9:Ac"-Yt e,.e DO NOT WRITE BELOW THIS LINE
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Your street address will be tri / '. -.1
L 5 ) l-r7 C,-4- l The zone is 7?el r/
Sewage Permit Number Issued Building Permi�w d?-Receipt^( / 7c( Issued co J 03—.
Remarks {{
Ct
arm 523 Bldg. Code
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F.H.A. APPROVAL ONLY
SPO.CO. HEALTH Dik. i rj t i
SPCKANE COUNTY HEALTH DISTRICT
V'ef-•-t 1115 Lallcal Ave.
Spokane, Washington 9920Z
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