1972, 03-20 Permit App: J2229 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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.
WATER. Water supply must be approved by the County and State Health Departments. Where work onwater 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. Acoessory 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
Architect
Address
Contractor
Phone
Legal Descript .n o Pro/erty (G' ompl-te
f/ . �1 Cie,
Cayce
�g7
%"Phone it --a
FSigineer Phone
Address Phone
d-scriptior fr am deed, tax receipt etc.)
.ams -5€
DESCRIPTION OFF�'SRK::,, ew/ ddi ,• Remodel
Size of Lot ¢'' d� ,�JJ(( ��p
Const. it -,
Dimensions -0-9,2 3'O a1X ae cOO. otal Sq. Ft.
Rooms - — Baths ` Basement F
(Full, part, none)
Heat. System Z1 'ype of Roo 'ng
Vi e-tei 'C rC/
0740
Moving
Bld_. Zo
ewage System , 7G
(Frame, c e, brick etc.)
Use of Bldg.
or Carport Attached
oundation Const CIYLe..rie e -
;j Ext Finish
Drsketch with dimensions showing: (1)
proposbuildings; (4) distance to property
tem and‘ater supply lines.
NORTH
Fire Zone
Stories
uati
•••9
Chinmey
Firep
(Kind) m (Number)
Int Wall Finish Y!/G!/L
No. of Units t Bedrooms 1.3
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
„-mac QC-ic.-G/
SOUTH
)hereby c f9Ify informations ittec,� rect and there
as shown.
"'Dr /Gi e `/l C feta"
G/
Owner or Agent �GJ
m
-I
N •
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except nt
eteri
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Au 7a
DO NOT WRITE BELOW THIS LINE
Your street address will be r/9di Ot at -at e1/4.2—LO
The zone is 114A—C)
Receipt
14 '-
Receipt 'Issued
Sewage Permit Number Issued Building Permi
*0,4•1.1 a R.waa.4..1-,+z+1 711.24g.
c. uJ
Remarks
Form 523 Bldg. Code.
Qr.CV i , L.
3,0
/•AF('r�
;Q Qa4 «e:frea
;t4
BUY A FAV,Y
DA?RELL G. BUILDER,
Box 76 27
SPOKANE, - WASHINGTON. 9D208
v
150"
{9‘i.
•
fps
0 v/L
Pr
0 044.4 c
r d
O et,M- i'�7 re
R,W,A, AP1tt3Va tart, •