1972, 07-07 Permit App: J3670 Remodel• •
County 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 most 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.
/.%�� y E S_ 7574
Name of Owner ��iY A-/ ./ AC/A/?'(' Address Phone %i
Phone Engineer Phone
AddressAPh Moine
complete descript on from deed,
tax receipt, etc. ).40)-71A/.,..5-41/-0 7/es,
APPLICANT FILL IH BELOW THIS LINE
Architect
Contractor �,�
�{
Legal Description f Property (Give)
eNS is C.
OA
,3 .ltic
air
DESCRIPTION OF WORK: New
Size of L t % 6C) i / 7D
Consts. ,nCO xx[il_ Dimensions 3D
(Frame, concrete, brick, etc.)
Rooms Baths Basement
(Full, part, none)
f:11r
!Y ./%W-4
Addition
Remodel Moving Bid,ggff. Zone . L_.— Fire Zone
Sewage Systemt,4J#.21.U'/ Stories
Total Sq Ft,/9' 6 e) Valuation'qlad
'A toe
Foundation Const br---ktx_-{-122 Chimney
-1,11.2....d)aihort Attached
•
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
el CI
"4"' (Fireplace
A -f— (Kind) X (N m�b�er)/
• Ext. Finish RSL �L[.[�C,C-dam Int Wall Finish 'z'�-i%t'i""*'?T��
1t( Q�1liC'�� No. of Units —Bedrooms
Private Detntched
PLOT PLAN
Propelinesrand)ines; streets; street or
of bud ildings;(3) (6)1ocation of location ofexisting
and
sewagesys-
G�
.
as s
eby certify infor
SOUTH
on :ubml ted is co
ct
and there are no
m
M
,rt 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
other structures located on this property except
7-7-7a
ner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
7141515 NOTA PERMIT.
i2Oq DO NOT WRITE BELOW THIS LINE
Your street address will be / , /a/
Sewage Permit Number Issued Building Fermi
Remarks
r
,,
zone isa
Receipt Issued
Form 523 Bldg. Code