1975, 09-26 Permit App: L1637 Residence• •
County of Sifokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 'S �
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.
PATER. 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. 45-133 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 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 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 ID. ✓QNMJ. Address -S'n. 41a.7 eOr7iCer (;t' Phone 92P-/35
Architect Address ' Phone
Engineer Address Phone
Contractor S (14)1L Address '/ Phone
Legal Descripti of Property (Give complete descriptioq iro47 deed, tax receipt etc 1 O4sL4 /1 /
Lot 1) (k 4 Y11yren Esta fry #
DESCRIPTION OF WORK: New V/ Addition Re oriel MovI Zone
Size of Lot J $ )( / 5-0 F" � .z 4
r 3
, sewageing System B�+-yr,G Const.Fire
y/S , IFr,, Canc.y B(., etcd pp
Stories 1 Dimensi ns ,�.' / - n/" Total Sq Ft ^2 ! Valuation iH7. .5 /7)1
Rooms Baths ease t 9 i Foundation Const G CBM At(g chimney Fireplace r 2%C
, F�.I�. °seri, none) I,
(Kind) L I ur a /-
Heat. System 5! C.t 1c" Type of Roofing �k Est Finish / / Int Wall Finish sheet Pock
Use of Bldg. /� P.0 / of tripe q4A( C lT/TR () No of Units 1.. Bedrooms 3
h of F-nrsh Base melt PLOT PLAN
Draw sketch with dimensions showing: (I) 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
ns
N
ti
State License No.
=?9-3-49 —/8307
Ind. Ins. 'Acct . No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
\
Plans Picked Up
Plans Mailed
I hereby certify informs ion submitted is correct and there are no other structures located on this property except
as shawn.v //.
7S
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
-(-1-'6L-2/4242)/�
Your street address will be 1/ /.2D c . rP
DO NOT WRITE BELOW THIS INE
Sewage Permit Number Issued Building Permit Receipt / Issued
Remarks
Form 523 Bldg. Code