1971, 01-18 Permit App: I3306 ResidenceCounty of Spokane, Washington •
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 9920
APPLICATION FOR LAND USE OR STRUCTURE PERM 1 (.1`�` U�
GENERAL REQUIREMENTS PERMIT FEE of"---)
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. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the lastt}l
,which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.')
APPLICANT FILL IN BELOW THIS LINE , ` j
3/e/ R\T
Name of Owner r7"f /� Ie I , 1'2,1Address /r. I c Phone 4)4 Q SR�b
Architect set h. •O Coe Engineer Phone—'— m
Contractor -.1/ /,L 6-0,11,5777.{,,, t Address 4 , 3/ 4 r !1 P S Phone £t'O g "67?OOrJ
Legil Description of Property (Give complete description from deed, tax receipt, etc.)
l -a
/RRlny%n ,4-toTo gens nip sere, v71,c
*tie. So %l/7 7 1 /�i=(o_q 0 n r� / Q i '-/ _ i 2 15
S DESCRIPTION OF WORK: New V Addition
Size of Lot 76r 112 X ' l2e =/ , 9
Remodel
Const Dimensions ' C/' '. -lege I
t
(Frame, concrete, brick, etc.)
1. ,, % $ h 4' 7 t.rCe1c
Moving Bldg. Zone
Sewage System N" k 7
>- Y. /i%.:, Total Sq Ft / 14 /1
AA
RoomsCe. Baths / Basemen �Y Foundation Const
(Full, part, hone)`
,I /�
�G d.
Heat System ype of Roofing C---/M.fS Ext Finish
Use of Bldg.
Garage oyGarport Attached`
/1;10—a... OI/L—A , fl r
Chimney
PLOT PLAN
Draw ketch 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-
yta and water supply lines.
NORTH
Fire Zone -
Stories �75/
Valuation ��-g. A d 3
// •
Fireplace
(Num r) C7 1
(Kind)
Int. Wall Finish
No. of Units Bedrooms .
Private Detatched "J
SOUTH
y c/rtify in or tion submitted 's torr t and there
-I hereb
gsisho
X CCR- r
.a_ 0
-
( Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED .
Plumbing Permit
,w Heating Permit
IA Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number
Your street address will be ,r '� 0 ._ / ,e zone 1
Is _��•d Building Permit 3,34/1's Receipt �E ed
Remarks �SB�
Fonn 523 Bldg. Code
a
4
5
REVISIONS
DATE
BY
DRAWN BY
CNK'D
TRACED
SCALE
DATE
APP'D
MATERIAL
DRAWING NO. -