1975, 07-16 Permit App: L0858 Residence ---- - _ __
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT G
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 �j
Name of Owner ,(40,„ '
Address
�. ,---5.- Z( •_....4......-,
, _ - ' Phone 7--.2ir-" -2 d YO
Architect Address Phone
Engineer /� Address L Phone
Contractor -� � ��� '' Address // / 3 Phone � S�S/�
Legal Description of Property(Give complete descri.tion from deed, tax receipt, -tc.)/- —.• _- • S
- --' % �� -�
DESCRIPTION OF WORK: New Addition____X______ Remodel Moving Bldg. One / Fire Zone-3--
S i z e
one-5Size of Lot ;-._-_._—�` - • 0 -3Sewage Syste - -i—, t.
Fr. Co Br., etc.)
Stories i Dimen� ns �/r/ f Total Sq. Ft;/ aluatiS p 0
Room • :ath sement Found- ion onst. .e:7------z-C___ Chimney Fire•lace -
F I.
rt, none) (Kind) • (Number
��
"Flea . System Type of Roofing r1 Ext. Finish,/ S"(941 Int. Wall Finish //,- -
Use of Bldg.,1:::1.25.,,,..-e.• �— /c:r---€:f-----�`.,` No. of Units_Bedr.. s y
PL 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 aid streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines. /
/RE
NORTH SIDENTIAL-COMMERCIAL State License N .
X00 Ind. Ins. Acct. No.
44
REQUIRED
1\ �, 40 3/ __---3 Plumbing Permi` —
i
f�r,,,�.-�, ' n+ Heating Permit
N` o r 0 N Sewage Permit
i ` Plans Received
Plans Checked
rc,
Plans Returned
Plans Picked Up
Plans Mailed
2�� SOUTH
I hereby 1•, ormation submitt•: is c;� e• • and there are no other structures located on this property except
as shown. - �' r
. AIM I - A . --i. _ -
i ner or Agent Date
A LAND I/ - 0' STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A 'EMAIL
/u.-74t1140.0 DO NOT WRITE BELOW THIS LINE
Your street address will be i��! dor A"'" --�- - " "" , 'ir The zone isC��/
Sewage Permit Number Issued o Buil ing Permit ••ceipt 77
Issued
Remarks / Z) 7 07
C a,. • D w
Form 523 Bldg. Code