1975, 12-22 Permit App: L2339 ResidenceCanty of Spokane, Wasllgton
BUILDING CODES DEPARTMENT; N. 811 JEFFERSON, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT '9
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.
RATER. 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 1n 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 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 acovenants or dedications.
����� APPLICANT FILL IN BELOW THIS LINE di0.I_J¢O.x/P ,naO6
Name of Ownerl_.Fiy-f'O/, Paz e7 Address // 3/S Phone q2 /f -7/f67
Architect Address Phone
Engineerg Address
Contractor cf fl4v Address
Legal Descripti99 of Property (Give complete description from deed. tax receipt etc )
S Ye ',j -C S /1S' - PA/W444 ,re., C u T FROM 561
Phone
Phone
DESCRIPTION OF WORK: New Addition
Size of Lot Re
Remodel
Moving
Sewage System- C st
Stories -LDimensions 4G ¥3R x -?O 1
Rooms, 4. Baths Basement _Ai /i9 Foundation Const
Fu I, part, none
Slr(g. _� Fi�on
g ace,
on
Fr., Conc.. r etc.l n 0
n-������•......�yyyyyy-Total Sq Ft0_,A17.,!nation �
1: - -7 Ch irnnoYFi plata F »/
�T (Kind) INu bara/�
Ext FinishN-�G/A(� Int Well Finish '99/Y///Y
No of Units_ Bedrooms
Heat. System.�F pe of Hoofing N�.,
Use of Bldg. rj.f,IP/lAL � (C/hU t'
PLOT PLAN
Draw sketch with dimensions showing: (1) Droperty lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
NORTH RESIDENTIAL - COMMERCIAL
59 5
SOU
/%/GTN AVS
(3) location of existing and
(6) location of sewage sys
State License Ne.
LFK. and F/L5
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
or Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
fy information submitted is correct and there are no other structures located on this property except
/ / 2 - 2 2 - 75.
Owner . 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 5 / T,/ The zone isay'^{WdIUfR�-
Sewage Permit Number Issued Building Permit 3_3 9 Receipt _A* Issued
Remarks
Form 523 Bldg. Coda