1975, 05-12 Permit App: L0033 Residence r
(44° County of Spokane. Washington
u
i�
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 >
t/,jI-7 APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE /Y
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 Y7-2/6 }�
Name of Owner . 4' .d .,, _ - - Address ' //. 9ef'Lt-a-' ��jj Phone /a+P- /�4L7
y_
Phone Address z4ti
Engineer Address Phone
Contractor 'c-4.,,, :Ct, Address � Phone
1�
xA5)-25'7 2 Y 7
Legal DesJiption of Prop x (Give complete descryption from deed, t x receipt, e .)
.� /e, - 4ia", ,.. / 3 " J.,/ s //- vt//✓G0.,..ir/ { /..,/,
ry
-ft li.e,% i >ft?.
e'>5/41-A.9/40.
DESCRIPTION OF WORK: New lX Addition Remodel Moving BI g. Zone —/ Fire ones
Size of Lot ".0 ' A' /T:6, ' Sewage Systee, ;4eonst:,. ■"�
(Fr., Conc., Br., etc.) t_l
Stories Dimensions '/ /X 4, 82' ' Total Sq. Ft.,/C`Z--)1.1 Valuation >g",/age,0a)
Rooms ..s- Baths_sg.,._ Basementr 1 -ei- Foundation Const. ��'-�9-7L-* -%<,-7-e Chimney •714- • Fireplace
(Full, part, no (Kind) (Number
Heat. System. ...._r_J Type of Roofing Czin.pr�,l7.s.>s.-% Ext. Finish 77_ f// Int. Wall Finish ' '
Use of Bldg. _1..----- X. �„(c '�z-_���, ( �' ()�c � 22t c c< " No. of Units Bedrooms
�,/� t PLOT PLAN `- 7,..:�'1 0_, ;
Lraw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH C- 7\\ State License No.
Iso - , c1
Ind. Ins. Acc -. No.
14
�
� REQUIRED
/ 1 Plumbing Permi
en Heating Permit
m r1`o. 01tn Sewage Permit
t 1 Plans Received r
C" re
y 2. R t ti `l^ 7 Plans Checked
( ' � �
Plans Returned
/
Plans Picked Up
�
a
Plans Mailed
5G> SOU ����-.x..
r
hereby certify i rmation submitted is correct and there are no other structures located on this property except
as s n.E
I Owner or gent "/ Date
A LAND USE OR STRUC URE PERMIT MUST BE THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
CL( 744_4„ gJ DO NOT WRITE BELOW THIS LINE
Your street address will be r 7 .,Ae..,,;`-1ST- The zone is j��) -- i `>
Sewage Permit Number Issued Building Permit d Receipt ( 1lsued
Remarks
Form 523 Bldg. Code