1975, 03-22 Permit App K6985 Residence, GarageCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__,l
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
Ile surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
00
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 15 oa Of it t/ L Address
Architect Address
Engineer
Contractor
Addressr / Osb (J "h'
Legal Description/JLof Property//�/(Give complete description
from deed,/�tax receipt, et/C/�) -05-5 a - 0a o/ -- a a O 3 - O'a a*-
in/5- t 11/ < L / 10'a i- .:-, e7 _,4, _5,a,,bcyelws ' 2� (/� d ��r--� II Ri, s �/J a o
YJhl P Lori- e .P gG� y ), Z.,,#' _c /�5� ,,
9srG�.t-5. �oi3- 2--, 7', i! )_z
DESCRIPTION OF WORK: New t--"--- Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot i n at -.1.Sewage System — Const f" =L -
(Fr., Conc., Br., etc.)
Stories 1 Dimensions C7, '.) ''` 3 a ,' a a(v-3-11rJ(02`i Total Sq. Ft. AQOy Valuation '"
Rooms 7 Baths -^3 Basement FL/ / I Foundation Const C'D n C.r- T -Q Chimney 1 c% Fireplace
(Full, part, nonce- (Kind) • (Number
Heat. System LL&C%%hu-, f/4fype of Roofing g iru,n f hn,n7 Shar,�Ext. Finish .4-,1-4-M n v :'.7 Int. Wall Finish tea-\1 Gr..-' `/
Use of Bldg. (la.0 t r�.n r--2 r.e. j y4ra y e ct T%L G�ioV
/ 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) dimens,.Qns of buildings; (6) location of sewage sys-
tem and water supply lines.
qLy --z3 z
en
KL, v im LA14 (f I hF
NORTH
Phone
Phone
Address Phone 7 �4� L` cf
Phone T
,6)/ditg‘-/
SOUTH
I hereby' certify infor
as shown.
No. of Units _ Bedrooms 3
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
nr Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is orrect and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUS BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Date
Your street address will be e, / 1 S % !- �' ,/ The zone is
Sewage Permit Number Issued Building Permit ' /01 g) Receipt `I')/ 5f Issued
Remarks
Form 523 Bldg. Code