1975, 06-26 Permit App: L0688 Residence 09
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .9 U7-')
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.
/�1
APPLICANT FILL IN BELOW THIS LINE ''1''
Name of Owner I/' , _:s /4!` Address �. CZ,' , /( 7rte iiif441 Oe7c-€ Phone 7*~2' 92-2 U
Architect Address Phone
Engineer Address Phone
g // ././ Address //' ,- ,r r/ //Phone /,
Contractor
Legal Description of Property (Give complete description from deed, tax receipt, etc.) .
2c,7'-- /8") /3-2,e , / <,G ,4- ,,z 7 Azi161 Ziii
. '.2.. e2 - ..27 �. z ,- - -275-93- GAC
DESCRIPTION OF WORK: New _r_ Addit�n Remodel Moving Bld one / Fire Zone
Size of Lot 7�O3 r X i36 / Sewage System Const. ,-' 2 /r E-
_ / Fr., Conc., Br., etc.)
Stories / Dimensions _ .,51�/r. 2 -1 4'<'-2 9�� Total Sq. Ft. /7"-7C Valuation r S)bV err-CI
Rooms Baths-� Basement ,/L/ Foundation Const.. G-U//'l/'C-7-e- Chimney-.4530�>CFireplace '�
(Full, part, none) (Kind) (Number
Heat. System /'.F Type of Roofing ...S ,9,t''s.s" Ext. Finish 7'/� Int. Wall Finish .4 4r-i 4
Use of Bldg. J"^c 442-,;./442-,;././% y, � l�'-C .4<7731,---"A-2.? No. of Units.../Bedrooms_ '
✓/ PLOT PLAN
Draw sketch with dimensi ns 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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e:. ,-Z-3--c/`_ P-9. .
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit -
m Heating Permit
m a —
N H Sewage Permit
-I -1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certin . ,,,:t'.,n subil'tted is co rect a ere are n ther structures located on this property except
as shown. frit e'.-1,„._ S--
• .er or Agent Date
A LAND USE •R •TRUCTURE PERMIT MUST BE ON THE PREMISES EFORE CONSTRUCTION COMMENCES.
THIS IS NOTA • RMIT.
0-4.(..i M (tel DO NOT WRITE BELOW THIS LINE ,
/'fir
Your street address will be / as � / `�- ,=" / C--e" ` _�/The zone i 7-6
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Building Permit Number Issued Building Permit ��(6 o Receipts + r �7"sued UI /I
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Remarks g
Form 523 Bldg. Code
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e./1 Fitt APPROVAL ONLY -'
GPO. CO. HEALTH DIST. 11 ,�17
SPOKANE CQtT "i H1+At•TH DISTRICT
i . . ''eat i115 Maii n Ave.
Spokane, Washington 99201 `,......
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