1975, 11-10 Permit App L2049 MHCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT it co
GENERAL REQUIREMENTS PERMIT FEE"2T
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 mast 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 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 _ 't-Y-l/r/ C,k X • 60e /) I —set/ %1 Address
Architect
Engineer
Now itontraor
i
Address
Address
71— geld Address
Legal Descr ti of. Property (Giveec plete descripa n from deed, t
i) t / — I. / C l�
tax
�92 S!>
receipt, etc } ii�P�
Phone
Phone
Phone
Phone 9 ' 73 /J
C� QS'71 / -- 20 / 3
DESCRIPTION OF WORK: New�Addd ti°n Remodel Moving BId
Size of Lot //% � ,. - /f /5:5^ 447X ° J J X 7.2• 4, r Sewage System
Stories
Total Sq Ft
Rooms Lj. Basement G, Chimney
Foundation Const &me-0
I A rU I I , part, none)
Heat. System -} -y
.-J .fit. Type of Roofing "l Ext. Finish �,
Use of Bldg.
Dimensions
Baths J
/.,9, X In O
Zone ! Fire Zone .
r}.onst.7h_dv t-
(Fr., Conic Ir., etc.)00
'LU Valuatiot '- OaQ-
Fireplace --
(Kind) 7 NN tuber
Int. Wall Finish
No. of Units _ Bedrooms
PLOT PLAN
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.
m
tit
NORTH
SOUTH
I hereby cert'fy)information submitted
as shown.
RESIDENTIAL - COMMERCIAL
is correct and there are
State License No.
Ind. Ins. Acct. No.
•
REQUIRED
Plumbing Permit
m Heating Permit
ut Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
Owner or A ) Date'
A LAND USE OR STRUCTUR PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
AtG.,G�brne,,
14,11 e
DO NOT WRITE BELOW THIS LINE
OV
The zone is
Receipt f 6. 7 Issued
Form 523 Bldg. Code
F