1975, 12-19 Permit App: L2334 Residencef
r;
Carly of Spokane, Washogton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
6
APPLICATION FOR LAND USE OR STRUCTURE PERMIT cgi
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit 1s required by County Resolution to erect a building or structure of MU
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. 45-133 and 47235.
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 dedication.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner •7/ rr/ /. (IARUFi Address try /Qd y /3 a Phone
Architect Address /fo✓(/a.s /NAie Phone 57.2 S.TGY
Engineer Address F ?,e 9Y Phone
Contractor S6 --Ay 4' Address Phone
Legal Description of Property (Give complete description from deed. tax receipt etc )
.4_0 7- L /3 /od_/c / itysfu-✓ E-5T471e_y
pRAQ./ X1'0— f 4.uy2 « o, I)
DESCRIPTION OF WORK: New ✓ Addition Remodel Moving Bldg. Zone / Fire Zone '3-7
Siz
-
Size of Lot 90 7 /3 %J
Sewage System a Const
'P^1!
(Fr., Conc.. Br.. etc.) AA
Stories 1 Dimensions in .Y'9¢� Total Sq Ft ,(�iy Valuation zl /, .a di--
Heat. System Type of Roofing SAir Ext Finish ince/
Rooms G Baths 0 Basement 1 N // Foundation Const. (°.04 CR. rc Chimney Fireplace 4
(Full. part. none (Kind) n (Number
Int Wall Finish 4'4'7//
No of Units 1 Bedrooms
Use of Bldg. /2n „.c y- L 'AYie Ad F
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
Proposed buildings;
(lines.
NORTH
to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and watersupply
NORTH
— COMMERCIAL
State License No.
3 — o/—/YY /7
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit %•(/•
Heating Permit )7/44 ,e 'odd
Sewage Permit [a9AMEy
we O
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
as shown.
I hereby certify rmstion sybm ted is correct and there are no other structures located on this property except
, . /s —/9-73'
r or Agent Date
A LAND USE 0 /TRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(Li .4(010 gi DO NOT WRITE BELOW THIS LINE i
(/ py �( p m
Your street address will be / /4.2y -P 1‘ zit @Lc D The zone is>/1A.N.( 1. Yi fid
Sewage Permit Number Issued Building Permit/ ,Q 3 / tReceipt/[eR7 Issued
Remarks
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