1975, 08-27 Permit App: L1325 Residence0
County of Spokane,, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 47 C
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. 45-13,3=147235.
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 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.
Name of Owner
APPLICANT FILL IN BELOW THIS LINE
"y 2-6 Cr.
Address J 10 7 12- 3'b ae`Q Phone 971-24ir
Architect Phone Eneiveer Phone
Contractor Loa .. Address E/0711.- SJ art_ Phone
LegalySptigpnperty (Give complete des izz from deed, jaw roc tc.)
cssti41 — 9061
A
DESCRIPo ettN •e
naS:Ne
Sire of
ib
Const Dimensions
Roomse BmBathsnc Basement Foun anon Const
(F , part, none) (Kind) (N )
Heat Syste - -� / 't•e of Roofing Ext. Finish 7 ill Int. Wall Finish
Use of Bldg. W o of U its _ Bedrooms
l�—
PLOT PLANjO-s'""R------..
Addition Remodel Moving Bl ne Fire Zone 1.Y_
a.WM • 24+ To ° Sewage System Stt4q�es
3L Total Sq Ft. Venal ,11.ya0: op
Chimney /r'wwu Fireplace 3
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.
NORTH
SOUTH
I hereby c rtify formati submitted is correct and there are no other structures located on this property except
as shown.
REQUIRED
Plumbing Permit
Heating Permit
S
N Sewage Permit
ti
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner t 19211.
orAgen
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS I5 NOT A PERMIT.
7414itg
/j DO NOT WRITE BELOWTTHIS ALINE
Tour street address will be 1 I ti 7 t-� ,4,14the zone is
Sewage Permit Number Issued Building Permit �� {� Receipt 03
Remarks
Form 523 6Idg. Code