1971, 05-25 Permit App: J4506 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
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i
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. 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 f C
Name of Owner iAl
Address LUV (es Pi / Phone'�l X'-' 9S/
Architect
Contractor
Phone
gineer Phone
Address Phone
3d a -t.
Legal Description of Property (Give complete description from deed, tax receipt,
s=yy /' 3 IJ.cx
etc.)
DESCRIPTION OF WORK: New 6... --
Addition Addition
Size of Lot fie )t d3j. �
Const. /7jyse Dimensions i//tAAyt9-X 1 C
(Frame, concrete, brick, etc.) V
Rooms_9 Baths Basement /3 Foundation
rr (Full, part, one)
Heat. System N� Type of Roofing-p.GC�. Ext. Finish
J
Use of Bldg. JTt$ sv twit.
Comae or Carport Attgehe
Remodel
Moving Bldg. Zofp e
�' J4e
1
Fire Zone
Sewage System9. Stories it, JAI
f f is h.n Total Sq Ft tyay Valuation i6 j2-0
Const rz' h.4. Chimney -.--
Valuation
Fireplace '�
(Kind) (Number)
Di —/ / Int Wall Finish Dt..,.l <
No. of Units 1 Bedrooms 1
Private Detatched
3
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) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED rd
Plumbing Permit /i•
Heating Permit 49.+' "ant
NSewage Permit .Hue //e`
0) —I
4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby_c
as shown.
SOUTH
ion Submit ed is correct and there are
A LAND USE OR' STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
no other structures located on this property except
7
k.
ner i5r Agent D
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
.6/ -/9Df Bess/
Issued
e zone is / S,s / s o
Building Permit /� Receipt c /([/ Issued
Form 523 Bldg. Code