1975, 05-17 Permit App: L0180 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITa�
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.
SETBACK 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
anile gress.
CO TY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
pe formed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer,
MOJING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County CIP 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
�q�q � 4 OPhone �
( r� /
.�STT
Name of Owner.0 '
S �.� tt"1St.S Address t 7' CSI`AI.. 'CD
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal DeScrjption of Property (Give complpts des ription from deed, tax recei t, t I
)....ec \CI PAV. I ta .ip.06\i it v.) a e c-E s &A.& ‘...\0,..,-- ,
DESCRIPTION OF WORK: e NAddition Remodel Movin Z ne
1 )) 9 Bld .9 / Fir one
3
Size of Lot J CNCZ / 7 - Sewage System Ste' yonsr. �"Q
�/ �.�e/ (Fr., Conc., Br., et .1
Stories Dimensions �( Total Sq. Ft. Valuation -.1,V-41...C1
Rooms 6 Baths u Basement �1���, ,_ Foundation Const. CO`nc,'C k __ Chimney Y\i- (- Fireplace I
(Full, part, noneKind) (Nu r
Heat. System pe of Roofing � \.kO.' Ext. Finish \.,1\46:1Sl \Y�_ Int. Wall Finish s
Use of Bldg. 4.,_S\X,t C_Q. No. of Units 4 Be r ms
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.
6/---) NORTH(;;:) State License No.
Ind. Ins. Acct. No,
REQUIRED
Plumbing Permit Ewett'S`Y°-..-
in Heating Permit Scr..�T`(\.
N N Sewage Permit
C V►`(�'(\\hti �tk Y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify ,forma 'on su.,, tted is correct and there are no other st uctur s located on this property except
as shown. — a _ 0
Owne' gent ate
A LAND USE OR STRUCTUR MIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
_TH1115 NOT A PERMIT.
x% 01 �z 4- DO NOT WRITE BELOW THIS LINE
Your street address will be / / Q / V To O ` The zone ism
Sewage Permit Number Issued Building Permit/) 0/4) Receipt 2 7 J 7 Issued
Remarks
Form 523 Bldg. Code
.TCS 1-ti /`I»-40
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