1975, 05-16 Permit App: L0177 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT v
GENERAL REQUIREMENTS PERMIT FEE I`
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
ene rformed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
JMOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Lighway, clearance must be obtained from the County Engineer and/or State Highway Department.
tc ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RF'STRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the laud
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedic(;tions.
APPLICANT FILL IN BELOW THIS LINE
VaName of Owner...... ..., ..-s... Address 9 a ,' Phone ` J _ l3 L
Architect Address Phone
Engineer Address Phone
Contractor Address Phone
Legal Des griptiotf3Property l(Give �gmio
pleteesprip G fromoded, tax receipt, et I
L l 19 5���'_.1` �3(Ao K az- y Ci. e;, 4'4 - (( 3 o
DESCRIPTION OF WORK: News )r Addition Remodel Moving Bldg. Zone / Fir Zone '3
Size of Lot V .`) D + X 1.7 9 ,z2 4- Sewage System 6t4i-I e Const. Y cr<\""--'L
I o / p (Fr., Conc., Br., etc.)
Stories t, Dimensions Al 1 x A/n� � .X, are -4 I--,0 Total Sq. Ft. 1 -1 Valuation c3 )j S J
Rooms Baths 9- Basement \\ Foundation onst. A'c c Chimney rI Fireplace
(Full, part, none) (Kind) (Number�_^� o
Heat. System pe of Roofing C -��I. t0'rfxt. Finish \,J S1�1h\ Int. Wall Finish Stt1n '
. �RT(Jl
Use of Bldg. SLEA .tie CA- No. of Units.,I,Bedrooms .?
PLOT PLAN /1141-1112-- frit-d-- 01.41/4•,-/—
Draw sketch with dimensions showing: (1) property lines; (2) street or roaocations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensionsbuildings; (6) location of sewage sys-
tem and water supply lines.
4 , NORTH State License No.
Ind. Ins. Acct. No,
6.{
:-1/s-- REQUIRED
Plumbing Permit WI\.,
in Heating Permit v.
wi in in Sewage Permit . . h. i, i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
. SOUTH
I hereby cert fy i ormation s fitted is correct and there are no other structu es located on this property except
as =y. ��
• ser or Age t to
A LAND USE OR STRU • •E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISJS..NOIAPERMIT.
`( '; DO NOT WRITE BELOW THIS LINE
Your street address will be/ (� , .. S 6. 3a E=X4 The zone is )
_
Sewage Permit Sumner Issued Building Permit U Receipt 71)=7 Issued
Remarks
Form 523 Bldg. Code
2 :u 9912 I
7y
1
-L' / / /y/.aa' Gor ,ciNFC"\--.6%
, 7.„.,,,,,,,, . .,,,
i
.. . . 1/i
s
i 4
Y,!
PO
i
I.
1 Ij
I
/
F Jf
1
r �: tiro Q;itY
I
i f f
1 I ). �J/�///fy//////)�
i if f4:1-1-N.7t"
•4 1 /
IN I
.�( • , X7i /79
mac, a° a° c° 4
1 \I \N4
L.. R
i 1--_..� _ /.AOld 11
i
e,�.,a,.1c 3G `' f �6 ll
• s wii-h Ai-=w dra r, F 1 1`',,'6000 j
srq 12s
IL I flit. /I
1 it q \
/f //9e S-), F.4-
i \\I . 3 —R'p I Bot/ *,:_ ."
il /
_ —
i31- - / ' ;�
•
z i 1 / f
— j
( Ave
Co.�crr 1-C I
! 1
! Tt}
4 di it; 1 NI I
!
/
h, :if �7 Ii�o Lrc,Jc 1 SStyvi w Flus 1-;D/PA)
n of / b
1/ i Spo ic.4i�JE C'r�t�cn
I '
bs�a' toj- Ls"V =_ t
------------L,11
0 ?r5-3/4/—/low