1975, 06-26 Permit App: L0689 Residence f -\
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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.
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 992-c'Cs
Name of Owner /.4/Z w-O -. Addres .. / , c, Phone f 2d 9,-1-2 0
Architect Address Phone
Engineer /7 // Address Phone
// // /i , ' ,l
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
- 77y ,3� 4
/74.2Z ceEs7'� rs 7,4 .0. ,7.--
,,C: 0.139--4.•f",r[ � //- .(
i-?,U4 �2 - 4veuR.4we_p_ift=6. v.
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DESCRIPTION OF WORK: NewS Addition Remodel Moving Bid Zone �_ Fire Zone_
Size of Lot 96 X /So Sewage System Const. -' 4 .4r e
Stories_f.Dimensions / A -C-.7 /ee/Y-2__S Total Sq. Ft..2/ Valuation
Rooms Ae Baths ---2 Basement �'G �
Foundation Const. �_ Chimney ,C)( "
Fireplace '2
(Full, part, none (Kind) (Number
Heat. System /4"-- .E. Type of Roofing —S/ i{1X S 4-'Ext. Finish Z Int. Wall Finish .�2`>f✓AI ZZ.
Use of Bldg. Iifell-
/ � � ea f /fir / - No. of Units Z.Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
cor
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH •ESIDENTIAL�COMMERCIAL State License No.
(-_7.g.43-'-- "/w' 9'*?
Ind. Ins. Acct. No.
.,/" M//e:A 6 .
REQUIRE
Plumbing Permit*
m Heating Permit
m
to to Sewage Permit
1 1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce i o•,:tion s omitted is corrend there a e no other structures located on this property except
.I
as shown. /! _ � 7
ner or Agent Date
A LAND USE 0 STRUCTURE PERMIT MUST BE ON THE PRE I.SES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
741/14g DONOT WRITE BEL• THIS LINE
Your street address will be l T/ .' 7 "% �--'�- The zone is..*---
moo
Sewage Permit Number Issued Building Permi ' �/' Receipt ;.j'77V Issued 7//7.L
Remarks /
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Form 523 Bldg. Code
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F.H.A. APPROVAL ONLY
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