1975, 12-22 Permit App: L2341 ResidenceCanty of Spokane, Was*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE 1O
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. Constuction mast 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. There work on rater 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 49.235.
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
j performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
jROVING OF BUILDINGS. A permit Is required to move an existing building. When a building Is moved on a Cowitty'Nflate
Highway, clearance must be obtained from the County Engineer and/or State Highway Department. -
N'CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a seperete permit. F
i 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 dedlcatinns.
'Y APPLICANT FILL IN BELOW THIS LINE F i
Name of Owner /i f .._ i ddress - J . - - < Phone q .4-fG Sr 9rg G
Architect Address a/'12o6 Phone
Engineer � � � - Address Phone
Contractor -mY`"-o_Address Phone
LegalDescription of Property (Give complete description from deed. taw receipt, e[c. 2 -
. 1,1/Sf °Y, YZ,. /c1'33C' X� �'�y� d; 33—
3 0' u 4%14e AT _ ve,-w^ .° .
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DESCRIPTION/9F WORK!
/
Size of Lot r / S
New Addition
/ (o /
Remodel
Moving BI . Zone —/ Fire Z 3
Sewage System ponst.
r R O IFr.. C e etc.l
Stories Dimansi s ^21r �' 1% 3 /' R• Total Sq Ft Valuanon� �y. tin o
Rooms Basemen Foundation Const (.2.4a -w i/ Chimney Fireplace I
�r (Full. part. n �/, � � (Kind) 1 her
Heat System {+- Type of Roofing [ -; Ext Finish a< T Int Wall Finish �
No of Units __Bedrooms
-LA
OT PLAN
Draw sketch with dimensions stlowing: (1) property lines; (2) street or road locations; (3) location of existing and
Proposed buildings; (4) distance to propert lines and streets; (5) aimenslons of buildings; (6) location of sewage sys-
tem and water supply lines.
Use of BIdg: r ''
N
Y
NORTH RESIDENTIAL -COMMERCIAL
SOUTH
meaty License No.
I d. Ins. Acct. No.
RE_ Inp
ti
Plumbing Permit
Heating Permit
Sewage Permit
ti
Plans Received
Plans Check
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
ner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
/ zii Y ZJ/
DO NOT WRITE BELOW THIS LINE
Tour street address will be / 0 6 t% 4 r Ly The zone Ss
Sewage Permit Number Issued Building Fermi Receipt Issued
Remarks "lt id_rt o , d , 16-7
Form 523 Bldg. Coda
Chance Certified construction
10811 E. 26111
Spokane, wasp. 99206
JOE #20
Legal bescfptiori! See attached
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