1975, 08-19 Permit App: L1228 Residence(0144 t.—/oc.)7)
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
61-0
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 6,0/)
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.
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
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 covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
f apt_�„ __
Name of Owner Phone r — G� -r.•"�'
ka
Architect Address 45;ZA? Phone
Engineer Address Phone
Contractor Address Phone
Legalcription of Property (Give complete description from deed, tysreceipt, etc )
DESCRIPTION OF WORK:
Size of Lot
Stories
Rooms
14,
13._ Baths
l 5l
New, Addition Remodel � Fire Zone
Sewage System
tr- K.?o
3
Basement 1C41— Foundation Const
Moving Bldg. Zone
imensions
Heat. System
Use of Bldg.
.
( tConor., etc.)
Total Sq
Ft�7+� 2 -Valuation 4.21 000
Chimney Fireplace ‘?"-
• ;tpe
none (Kind) (Number
of Roofing 54;4--e-s Ext. Finish
- 4_r C gA5 )
PLOT PLAN
Draw sketch with 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 sys-
tem and water supply lines.
Int. Wall Finish
No. of Units— Bedroo
m
NORTH
RESIDENTIAL — COMMERCIAL
561
56—
m
I h
as shown
SOUTH /;.\-,(001
reby'tify 1."o ma ion submitted is correct
Owner
or Agent
and there
State License No.
Ind. Ins. Acct. No.
REQS RED
Plumbing Permi
m Heating Permit
co ▪ Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS ISNOT A PERMI
L) l r -� DO NOT WRITE BELOW THIS LINE
10
Your str et' iakaki ii11 be
Sewage Permit Number Issued Building Per Receipt. /' ,Issued
Remarks
%iii"= ,. - -
The zone is
Form 523 Bldg. Code