1975, 05-16 Permit App: L0182 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7 0 °
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 B5IILDINGS. A permitis required to move an existing building. When a building is moved on a County or State
Highway, cleaitance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE eOVENANTS. Builders should check provisions of covenants or dedications and easements running with the and
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedication
APPLICANT FILL IN BELOW THIS LINE
Name of Owner . ���PAIN . Address \0.0 \.13, cr 6`c' - Phone
Architect N. Address __ Phone
Engineer Address Phone
Contractor Address .__. Phone -
Legal Desc iption of Property (Give complete description from deed, tax receipt, c.
Ler 1 a3 i\& 1 7 w Gc,re. S 0 ,X ` N---- — S y y .- I )
')
DESCRIPTION OFr `
WORK! New v Addition,�,� Remodel Moving — Bldg. one --I Fire Zone
c
`�[
Size of Lot ,Ao x � tJ i l Sewage System �.e 1 C Const,c 4m 4.-
'/ (Fr., Conc., Br., etc.)
Stories Dimensions HAI x � \ Total 5q. Ft. I UValuation
Rooms t.—Baths Basement v\\ `n
Foundatio Const. C .- Chimney is
+�-K. Fireplace
„. l Full, part, none) - (Kind) (Nu r
Heat. System l7/ A Tyke of Roofing CeS ^Ext. Finish 51 \11,4 Int. Wall Finish it h•
Use of Bldg. iZ.51 ale ('L- No. of Units 4L Bed ooms
PLOT PLAN -� 4.c-`.3,` "`2--L"�' -cT. .-6-,....----/
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. /
NORTH L S -/ L( - /7`i / Sate License No.
cr
Ina. Ins. Acct. No.
-(6) p,v-, ,
Ve,-- REQUIRED
il Plumbing Permit �11o�
(/ m Heating Permit ►. mow.
in D
N in Sewage Permit . •., -
-I -+
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her . ,fors, ion submi'ted is correct and there are no other str ctu s located on this property except
as sho ��__ — - J 1
_� ` J
Own Agent Dat
A LAND USE OR STRUCTU • • RMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
POS-14419T‘'A PERMIT.
\.\_ O - _ DO NOT WRITE BELOW THIS LINE
_ �
Your street address will be />/ G, (52-e) -
) (.4 ,a The zone is to ,--61
Sewage Permit Number _ Issued Building Permiti Receipt in? Issued
Remarks —
r
Form 5231irdgN&Ie
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