1975, 06-16 Permit App: L0498 ResidenceCounty 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.
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 ate 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
Name of Owner U/, k.S, ct ASS of: //) ELS Address /..29a9 .0 SPk/ 6 ut Phone 52rs roc,
Architect Address Phone
Address Phone
Engineer
Contractor SAME Address
Legal Description of Property (Give complete description from deed. tax receipt
m q AUOCK AA . J
= tiCtf r
Phone
atC 1
i
DESCRIPTION OF WORK: New %‹ Addition Remodel Moving Bldg. Zone / Fire Zone .A—
Size of Lot /E• / 7Li G : L4. //Jy, 2m At //.3,/1/ Sewage system IT yin re- const. F2 AMc -
,s, /J7, 9,o. (Fr.. Conc.. Br.."r/etc.)
Stories Dimensions -CV )C 2y '11A 1.6 Total Sq Ft 'ru` Valuation 414, mass
Rooms cid Bathe .)----Basement Fu<L Foundation Const 44Nrn.tict de Z f Chimney/VC rV Fireplace 2—
(Full. part, none) (Kind) (Number
Heat. System A=A AA t Type of Roofing SO SHA let Ext. Finish /-.P,AM d_
Use of Bldg.
"rAf1)!iv !t 914..-7 .04. .42/1
A PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) di n ions of bu dings; (6) location of sewage syn
Int Wall Finish 17 n..'� -av941
No of Units _ Bedrooms 2
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
State License No.
()VC
C
Ind. Inn. Acct. No.
REQUIRED
Ko h, rrt
Plumbing Permit
Heating Permit
pDr Sewage Permit
ti
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby pgrtify in nrmation submitted is correct and there are no other structures located on this property except
as shown.
zZel Owner or Agent to
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 /// O y .E </ 6 '
Serge Permit Number Issued Building Permi
Remarks r tJ
The zone is
Receipt 71 ill Issued
Form 523 Bldg. Code