1971, 04-15 Permit App: I4037 Residence4
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT," ev
GENERAL REQUIREMENTS PERMIT FEE 22/,
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.
NATER. 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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner If/ �i 1 pectin/ Phone
Architect Phone Engineer Phone
Contractor gdy/, f Address - i— —Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 36 1
DESCRIPTION OF WORK: New dr Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot !0O X 197 - Sewage System Abe Xc Stories 1 !7 iE
Const. , concrete,
Dimensions Total Sq. Ft. _______Valuation /Q'fl'o
(Frame, concrete, brick, etc.) //JJ / t} (D�
Rooms 5' Baths _/ Basement gad Foundation Const ([Bt�PELFi2 chimney Fireplace —2-___
(Full, part, none) (Kind) (Number)
Heat System E���/� Type of Roofing �a�d� Ext. Finish /�/� Int. Wall Finish Qhya #'Z
Use of Bldg. Rai ✓e yp a No. of Units Bedrooms 2—
Garage or Carport Attached AifQ.Ue Private Detatehed
r7
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) locationr"of, sewage sys-
tem and water supply lines. - /1 /
NORTH
I hereby cex'yify
as shown.
Sta�e\ L/i n'se No.
,x 1�
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit ,. •677.
m Heating Permit 44
Sewage Permit frp+e �IlZ
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
ion submi ted is correct and there are no other structures 1 cated on this property except
e-.CAi .e,77? •
/ice 9/
/� i Owner r Agent i Date
A LAND U R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /O- p Si ,e zone is 47- I �i/[/AP. •�6G/y
Sewage Permit Number Issued Building Permit y0 X1f7 Receipt Issutd
Remarks J S
Form 523 Bldg. Code