1975, 06-30 Permit App: L0697 Residence0 7--t 0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201.��J//
APPLICATION FOR. LAND USE OR STRUCTURE PERMIT`/7b
GENERAL REQUIREMENTS PERMIT FEE
f PPRMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of BAY
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 he 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 moat 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.
APPLICANT FILL IN BELOW THIS LINE
Nameof Owner
,f e B/ftei:sss Address Rn- s 4 '2^
Architect Addres
Engineer Address Phone
Contractor Address one
Legal Description, f Property (Gi complete description from' deed. tax receipt etc 1
S,T1 -¢ (n'Sr4- 4 z- '-/CV
Phone n2'
Phone
DESCRIPTION OF WORK: zakBrw•" Addition
Size of Lot / 57' y l' n
stories Dimensionso80 x '1. (o
Rooms 7 Baths .1 1 Basement /rn� Foundation Const.
I Full pan one)
Heat. System
Use of Bldg.
Remodel Moving Bldg. Zone Fire Zone 3
Sewage System Cons(.
(Fr., Conc.. Br.. etc.)
Total Sq Ft -.5.1)C1 Valuation q 3000
I a,/PNG/-G Chimney Fireplace
r (Kind) (Numbs
Ezt ,yish rr� ✓ int Wall Finish ri of (.JY'
®
No of Units _ Bedrooscr-
P cf.,: Type of Roofing
pine . �.-e..,, A- -
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed ose
wbuilngs;y buildings;
(lines. stance to property lines and streets' 5) dimensions of buildings; (S) location of sewage sys-
tem
A)
NORTH
ESIDENTIAL -
MMERCIAL
State Moen No.
Ind. Ins. Acct. No.
REQUI/'
Plumbing Perms
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
flans Mailed
SOUTH
I hereby ce ad
tify i o bitt✓�d is CO anl� there are no other structures
as shown. Ceti'
ocated on this property except
er or gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number /Issued
Remarks
!il % nL 97
Building Perm The zoneReceipt,
}
Form 523 Bldg. Coda
PORTER ENTERPRISES. INC:
-Ganautteti WacCiii
SOUTH 2616 BLAKE ROTO
PHONE 926-1962 SPOKANE. WA•H. 90210
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