1972, 03-27 Permit App: J2326 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE _.__! '17
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
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.
RATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
f 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
E. 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.
1 APPLICANT FILL IN BELOW THIS LINE
Name of Owner WO i �/A4/.e/ , / it Address / "'. �� one
Architect t //4 J:.S C-,11/ Phone Engineer Phone
Contractor 6 .ejjjc ,9q1p ,a Address %Qijl) 9 , i C Rff r�b'oone 11-,"4 0( 1�F6
Legal Desc ip i o Property (Give complete description from tax receipt �y et .)
_x_14_6,C ' 0I' Al)! it 467 LreiY- '2G l',['eh:W 4V
loving
Bldg. Zone Fire Zone
/
LC/i46 / S-? I
DESCRIPTION OF WORK: New_— Addition
Size of Lot 110/0 iX 3/ j
Const. f /,/4 s/ GDimensio�ns.?(
(Frame, con rete, brick, etc.)
Rooms Baths -. 4' Basement Foundation Const.
(Full, part, none)
Heat. System S Type of Roofing`Q..GJ !2
Use of Bldg. S1C%F�'ic',� /
Remodel
Garage or Carport Attached 1.- 4
Sewage System .inei P 1C'. Stories . Wit.
Total Sq Ft i Jlo+, Valuation .2 tPci '! E�
7
ea,
'n Chimney•VI/
imt5 t place -7"--
(Kind)
(Kind) (Number)
Ext Finish 77- l f Int. Wall Finish D .? 1- 441 1I
No of Units / Bedrooms 3
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Private Detalched
• PLOT PLAN "'rr
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
SOUTH
Ihereby certify information submitted is correct and there
as shown.
L2„c-lam & rcreatea' c -i
State License No.
a"a -.e? / -q+
Ind. Ins. Acct. No.
REQUIRED
cieA
(o'44 /I- i'l.
Plumbing Permit
n+ Heating Permit
Is
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
J�2 7/Y
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THISIS 2t91,i1PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be C-0 2 SO Li:4 6r e- R
Sewage Permit Number I sued Building Fermi
Remarks AsAc", ��� /%-/-7,"
e zone is
Receipt ()
Form 523 Bldg. Code
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