1972, 03-22 Permit App: J2248 Residence• •
Counfy of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3 ��
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 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 moyed 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.
Name of Owner /ea ' , Lj.zc i Address W.41,22 °fie ( fly Phone /S, al 95%y
Architect _ Phone Engineer• / Phone
Contractor -Same Phone
Legal
Description of Property (Give complete description from deed, tax receipt, etc.) .4."' L3 Lk 1 /
/
DESCRIPTION OF WORK: New /l Addition Remodel Moving
Size of Lot 90 -JC //1 Sewage System
Const. Fp Aso Dimensions nine # /.S-.rA (7/7A) Total Sq Ft.
(Frame, concrete, brick, etc.)
Rooms_,' Baths ..,a___Basement- aFoundation Const. �Q.vF,r¢a �C Chimney Fireplace
(Full, part, none) A (Kind) (Number)
Heat. System A /3. A. Type of Roofing ! ONthr
, Ext. Finish /'// Int. Wall Finish _Oki( Leal.
y -" No. of Units / Bedrooms _
ir
age or Carport Attached �+y" 0 '-Silica Cel Private Detutched
0PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road Iodations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
APPLICANT FILL IN BELOW THIS LINE
Bldg. Zone Fire Zone 4_
' Stories 1.4 S e
Valuation ..75 SDN
Use of Bldg.
"Paste/ea e
State License No.
--O/- cepa
Ind. Ina. Acct. No.
/Ca 770
REQUIRED
Plumbing Permit �1 L L
n. Heating Permit i2 r././..44/
D Sewage Permit r(ur at*
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cegesify itilaunation submitted is correct and there are no other structures located on this property except
as shown.
1.0
r
*0064/-1,2 22--
Owner(/or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.,
THIS IS NOT.4 PERMIT. 1
i (Ai, •yvvciajcDO NOT WRITE BELOW THIS LINE
Your street address •11I be //e '� /� iai{o %ZO Q.!/ mne zone is k / S'i.✓9�i gak�
Sewage Permit Number Issued
Building Perm jeceipcid
cIssued
Remarks
(9+ _moo
4r 1�
1,
Form 523 Bldg. Code