1975, 06-16 Permit App: L0495 Residence7
County of Spokane. Washington
BUILDING CODES DEPARTMENT. N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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. Rater supply must be apDrOved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Reads, 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.
SETBACK 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 an 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 ar 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
Name of Owner 44, . 2 s w- /7 SS o C. Address /a-94.9 & Sion F r/4'Phone 9,2 rP 4.270
Architect Address Phone
Engineer Address Phone
Contractor Q dens L Address Phone
Legal Description of Property (Give complete description from deed. tax receipt etc )
Lor Z ,R.Co c AC z /Y/y/o.J s7'97ZS 7ct y Q.yS/s/2 — a J
DESCRIPTION OF WORK: New
Size of Lot /yr� )(
)� Addition Remodel
4.9,2
Stories Dimensions CV X m-9
Roans 1' Batha
2--- Basement .CU [G
Fu I, part, none)
En 6 els Type of Roofing
,4C4 /A/Aire C4n-a yc
Heat. System
Use of Bldg.
gra 4
ation Const
Found
Moving Bldg. Zone / Fire Zone 3
Sewage System SEP r7 const. Fa i/h/{
/9/6 (Fr., Conc.. Br.. etc.)
Total Sq Fb -.4tf/ Valuation dz/ %oerl
cos 1C.ter— Chimney 4r Fireplace ?i
(Kind) I Number
Int Wall Finish t a+/x//r04 4—
No of Units_ Bedrooles 5
Sa. tirritJ-Ext Finish /2ijni 4-
n rra ch. r/
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 sy
and water supply lines. \
T
NORTH
y2
y1/
/
(2-��Celt)
/ 3P
NL rq SOUTH
N
I hereby certify information submitted is correct and there are no other stru
c ,
as sham.
Owner ar Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS 1S HOT A PERMIT.
(9-a4
DO NOT WRITE BELOW*THISLINE
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit AE/NLt.r/C2
Heating Permit Uti/)ttt,J
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ctures located on this property except
a//4//,J
Date
CONSTRUCTION COMMENCES.
Tour street address will be
Sewage Permit Number Issued
Remarks
The zone Is le— )� q/'i' P/WfM.r+�
Receipt 79,q___Issued
/ /
Form 523 Bldg. Code