1972, 04-10 Permit App: J2535 Residence• .•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
S-54:2; GENERAL REQUIREMENTS PERMIT FEES'
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 on tater 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 �dbb:, �j �,JVS ,j� Address lil /..2 (`dire4 Pt*/ Phone 4r Fin
Architect / Phone Engineer / Phone
Contractor SQ WC Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)11:/fr»y fl4K
▪ u. — wiFett•xf (d'X'f
r/J /t N31 tvlrl
DESCRIPTION OF WORK: New `/ Addition
Size of Lot PDX /.j,
Const Aim4 Dimensions 6.16 -Er '5(2 Si f 3 nr
(Frame, concrete, brick, etc.)
Rooms Baths Basement Kit/ Foundation Const
(Full, part, none) ��II
Heat. System ,t4T Type of Roofing (.-4914
Use of Bldg. r1 e:, Ie -it / J
Curage or Carport Attached Deit i('P a A4 rZa
Remodel
Moving Bldg. Zone / Fire Zone
Sewage System ANA Sto es .�
Total Sq. Ft. /6"/ Valuati/ 2 Yinnn
Oil/ se, (% Chimney Fireplace ..2—
(Kind)
(Kind) (Number)
Int Wall Finish Atyrxi_oe//
No. of Units / Bedrooms _a__
Private Detatched
Ext. Finish %/—//
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
1.4
-1
I hereb ser
as shown.
SOUTH
i�ormat n submitted
Ow, r or Agent
is correct and there
State License No.
1.21.—e/•C6.
Ind. Ins. Acct. No.
REQUIRED /�
Plumbing Permit /�tJED
!/t •// L
rn Heating Permit (3a 5»l' 0� ` e/
▪ Sewage Permit Atellrt
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
are no other structures located on this property except
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
31144,
Your street address will be
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
/82 /
Sewage Permit Number Issued
Remarks
,5[404(e ,z; _The zone is R / S;,tt •
/ Receipt 9r- O Issued
Building Permit
\ �S 35
0
Form 523 Bldg. Code