1975, 10-20 Permit App: L1861 Residence• �.�. 0
Canty of Spokane, Wasllgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
00
APPLICATION FOR LAND USE OR STRUCTURE PERMIT-7,5-6--
GENERAL
ERMIT ,5-6GENERAL REQUI R,EM ENTS 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 af. 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 -BACK PROM 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.
ROVING 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.
,in' OE/
APPLICANT FILL IN BELOW THIS LINE
Name of Owner _F) PAy WnA./Ltt11'AifNN/ Address Xl 30D /f fid Phone93i-7` 9
Architect / Address Phone
Engineer AA� q �) Address �! a�'�) Phone
Contractor .(ACJ - U./4 t 4 Address /'roes e. -ty/(r 992/6 ,phone qaz%-ok.3/
Legal Description of Property (Give comp eta description from deed, tax receipt etc)ref-Ant- — le #4;1--- U 903
IC.or3 /3A -A- 911,1144-k. PA,taitted61
DESCRIPTION OF WORK: New X Addition Remodel Moving
Bldg Zone / Fir ne
onst
Size of Lot /4 95( .Q a./ sewage system i4 C
r.. Conc.. Br.. etc.) Ov
26X3d�yn. 1i 28t 4-Y*44/6 tato rTotals Ft v I :Ce90 —
Rooms Baths 'buil part ootnel Foundation Co
Heat. System ,,,iii��� l.0 /9T a of Wing
Use of Bldg.
Smri esTyra D imensions
Sq
a usmon
nst eli^Ag^t� / ypChimney ueplace /
Ext ish Int W
(Kind) , (, y_A 6 �r
Wall
-\.Zebu& PLOT PLAN
Finish �/1" /e
No of Units _Bedrooms 3
Draw sketch with dimensions showing: (I) property 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
(3) location of existing and
(6) location of sewage sys-
state License No.
04. D4' 1r4&
Ied. Ins. Acct. No.
REQUIRED
Plumbing Permit
w Heating Permit
yyr Sewage Permit
ti
Pion -coo
yo Plans Received
ResIOENCG 96 Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I herebr.Warkjfr, itd?arm9ti/op�sq/bmitted s root and there are no other structures located on this property except
OwnIN /O—.2O-7J'
Owner or Agent ��^^ff" Date
A LAND USE OR STRUCTURE PERMIT MUS EON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS /SNOT A PERMIT.
t5••redo DO NOT� WRITE BELOW THIS LINE
Your street address win be /0 907 /�h.r.(.(l ack The zone isalf-�"
Sewage Permit Number Issued Building Perm / Receipt /1 e� Issued
Remarks
as shown.
Form 323 Bldg. Code