1972, 04-10 Permit App: J2536 Residence•
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 mast 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.
/ �7 APPLICANT FILL 1F! BELOW THIS LI/NE
Name of Owner /CALrity Pip tAec.f"; Address W 4tts &;rt/! •14.y
Architect / v Phone .Eng ineer /
Contractor Aim*.
Address
Legal Description of Property (Give complete description from deed, tax receipt,
etc.)
Phone t2 tfiYY
Phone
Phone
S ..t ,it, s L.r 1
S Ser 2a—7-ay:i/? yyElM
DESCRIPTION O� F WORK: New "r Addition Remodel Moving Bldg. Zone ____/_____ Fire Zone
Size of Loty'INA/2c X>ac Sewage System 5-9,,/LsC Stories i& St
Const Thdief Dimensions in/4A 26' 1-2X/b` '/-/£% it Total Sq. Ft. _En Yt' Valuation 2s�s
(Frame, concrete, brick, etc.)
/,) Fireplace
Rooms .� Baths _3.._ (Full,
part, one ALL Foundation Const ! ®ry'pde /C Chimney
(Full, part, none) (Kind) (Number)
_ Heat. System /r,4 0, Type of Roofing e0eExt. Finish r> --// Int. Wall Finish Ptay .4.-it.4.-itUse of Bldg. Mics 4j 44-ti4 No. of Units__/____ Bedrooms _a__Garage or Cm -port Attached DA 'tat 4.74"7
Private Detatched
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of iexisting 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
A‘
I hereby
as shown.
ti
State License No.
an 3 a! �a 2
Ind. Ins. Acct. No.
/ '77
REQUIRED
Plumbing Permit )1196/
rw Heating Permit a �//s r Z 4 N/
Dyr Sewage Permit ley e1.64,_
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOU TH
ion submitted is correct and there are no other structures located on this property except
Owner Agent Date
A LAND USE • R STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
(L�"3/4/t/tvia, DO NOT WRITE BELOW THIS LINE
Your street address dill be /elf S 410 1C.t
Sewage Permit Number Issued Building Per
Remarks
0
e zone is Rte, fu7,- '
ceipt 9�rF�I sued " AL -74t___
/
Form 523 Bldg. Code