1975, 10-09 Permit App: L1763 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7/
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of arty
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 onutter connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the Comity Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos, 45-133 and 47235.
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 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.
p� nn APPLICANT FILL IN BELOW THIS LINE 2=eL 9,92.26
Name of Owner O1 An rCJ /// yy�-Q-w (2L Address 40 /// 7 A !n f./eriCCl Phone 6 2 41 - ,5"-g4,
Architect Address Phone
Engineer,1p Address Phone
Contractor s4 AINIA. - Address Phonn
ne
Legal Description of Property (Give complete description from deed, tax receipt etc 1 Jp O /i , hPPiiy4- (i T z'
A -or 4 131-1(-( 7111,44-uP.d .�l�s. #4%
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot /'S/d X Qqa
Stories?&Dimensions ' f / Px3OWti1- 2/fY6
Roans ./L Baths 9 Basement Foundation Const
/� (Full, part, none
Heat.Systeme)VON ./. F�./1. TypAu Boof(,i�n �_ :x[ F
Use of Bldg. .!H(k� ^I\J ,LLtt t//L
Moving Bldg Zone Fire_4one 3
Sewage System 4•41t 1j1tt st.% wt -a4 4--
IFr., Conc.. �Bfr.., etc.) d
Total Sq Ft. Valuation 44/%5.00----
E-=
�MJ Li Chimne (Kind) Fireplace N m
iniah — / Int Wall tsish s
No of Units _Bedrooms
Draw sketchhwith 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 Us
tem and water supply lines.
/60/NORTH
-
PLOT PLAN
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I here.. yertify 1'- �,�i su ,tted correct and there are no other structures located on this property except
as shave. /, * -
wain Ilk Idsi 4. '��Ar /0-9-75
40.05111.er or Age Date
A LAND USE OR STRUCTU r PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 15 NOT„NNA PERMIT.
ftw YLLO.1L
DO NOT WRITE BELOW THIS LINE
Your street address will be /07/5 P. iLLLUL.1.se
Sewage Permit Number Issued
/ The zone 1[
Building Permit L /743 Receipt /.577 Issued
R9/�/Q Qi�sfr_�ge
Remarks
Form 523 Bldg. Cods