1975, 12-22 Permit App: L2342 ResidenceClnty of Spokane. Wash!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 5i
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit Ls 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 to 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 47235.
SET -RACK 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
I performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
. MOVING OP 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. y
APPLICANT FILL IN BELOW THIS LINE 11
i i
Name of Owne fl w^w"'"�--���—'� s', ddross �- Phone
Architect Address CI's? FG Phone
Engineer Address Phone
��Contractor n 4. Address Phone
Leapt Descripmoo of Property (Give complete scription from deed, tax receipt etc.), `
a 1.0 n/a-Or tl �°WO� .'Zre /96 3 `r!`
24A -
O,, 4:it
DESCRIPTION OF WORK: New —T Addition Remodel Moving Bldg. zone / Fire e
Size of Lot �� n I K I f) [[ Sewage System 15 onst.
as , aK�
d. d q I i A) e21
Val
Stories Dimensigns _ Total Sq Ft. uatio co
C1 B6 Chimney (Kind) FireplaceNum
Type of Roofing Est Finish Tt2T='_a. Wall Finish � �`
4,A. No of Units_ Bedrooms
lva
PLOT PLAN
Property lines; (2) stree ?oacr
Rowes (D Baths ! Basement Foundation Const.
Full, V part no
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (I)
proposed buildings; (4) distance to property
tem and water supply lines.
N
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locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys
NORTH RESIDENTIAL - COMMERCIAL
1 hereby car
as shown.
s
ti
REQUIRED
Plumbing Permltf K.
Heating Permits Sewage Permit
Plans Received
Plans Checked
Plans
Plans Picked Up
Plans Mailed
SOUTH
on submitted is correct and there are no other structures located on this property except
2 -
Owner
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be / O Vr a r 6 4 4 Ct The zone 1 -/
Sewage Permit Nwler ued ` Building Permit�e`(�rL7 Receipt /(Q Issued
Remarks
Form 523 Oldg. Code
Mapes Cenl0ed Conxnc0oa
10811 E. 261T
Spokane, Wash. 99206
JOB #19
Legal Description: See attached
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