1971, 02-22 Permit App: I3517 ResidenceCounty 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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supp1murbe 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 tWmf--e"ngineer'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
47/
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Name of Owner %(f0 //r/.4...ad Z e'c Address // .5 ore, SPR./!` Phone a2,41 Qs.? /
-'Architect Phone Engineer �r Phone
i Contractor ,, .4K'6'F/2 6!t Address/1140. b
m Ris0•dAeert.c?hone fr.../4/09-/A;14
'Legal Description of Property (Give complete description from deed, tax receipt, etc.)
— j e / Ex 0 P k / --o -e/ .ce fe. s 4c$1 %0 r//,0 nic r4 R p /7440/t- /fda...
ig 2ri-F(--/ — 070 /
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DESCRIPTION • OF WORK: New Addition Remodel Moving Bldg. Zone Fire Zone 3
Size of Lot 7 O K. / 42/ S'4 /+ ESS /P4 -/l/ i(S Sewage System Stories .,--
Dimensions 3G ' 2 a7 7 LS)( 1--0 Total Sq. flag- 7HY� '( Valuation 00 -
: ncrete, brick, etc.) �/�,,�� ��/� Cam 9 j� /'
Baths - ' Basement �'GI1�IF'oundation Const en..(/ee /g it i Chimney Fireplace �f/ o
(Full, part, none) - (Kind) (Number)
Const.
(Frame,
Rooms
Heat. System Type of Roofing
tl
Use of Bldg. E$/G� ter:
Ext,inish ?/ - / f
Int. Wall Finish OR/ 4,./ ///
No. of Units Bedrooms IS'
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.
to
N
NORTH
State License No.
.223-o/-lye03
Ind. Ins. Acct. No.
REQUIRED//IR/
Plumbing Permit (�'
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
��O�e-evi 1�o� v 7_-_ 2- - - -7/
Owner or Agent Date
A LAND USE OR STRUCTU R PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
411.09
v\ • DO NOT WRITE BELOW THIS LINE
t
�s /J��s��t/ The zone is
Sewage Permit Number Issued Building Permit Receipt 3o 7C+ sued
Your. street address will be Sea'
3577
as shown.
Remarks
Form 523 Bldg. Code
16.
•
•
F.H.A. APPROVAL ONLY
SPG. CO -HEALTH DIST.
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