1972, 09-06 Permit App: J4293 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT .- d
GENERAL REQUIREMENTS PERMIT FEE ,r
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 SYS 4TEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. O
SET -BACK K 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 LI
Name Owner 2 -- Address _4 . - , - . Phone lace- L' V27
of
Arehitec ari e4 -4 -a --k- /1744 PhoneP4-24,d Engineer 4/O4/ Phone
410/
Contractor4Q p r. ate,. -c v -s _ Address __ - _ _ Phone
.t, e .eiki _
Le:.. Description of Property (Give complete descr'ption from deed, tax receipt, •'c.)
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot df C X /0 6 Sewage System 4-i C- Stores /
r) �'�)
Const. Dimensions qv( --� k �� Total Sq. Ft /�% S—S�Valuatiorf .S' G�
,,,,,t_‘•
(Frame concrete, brick, etc.) j) a
/1/ e----
�-4 LI Z-e-rz
Room Baths Basement Foundation Const G'_ Chimn /� Fireplace
p
.1')
(Full, part, none) �i (Kind) ,/� (Number)
0 1. L..--r-d' Int. Wall Finish c ,,,,,a .,,%
Heat. System Type of Roofing//in�'t"_"jjn Ext Finish
/
Use of Bldg. « - a/Pt_ K d ' 2_ - No. of Units / Bed2ms 3
Garage or Carport Attached id --e---.--" ( C A - CC , J1.L ' L — Private Detatched
POT PLA
1 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 aad streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
;.(3 -0/ -///a.s
Ind. Ins. Acct. No.
/
(X' /
1
REQUIRED n
)%Zet.,..e t-, f ...ect.
Plumbing PermitIn
ta.0-_ a/
J ��
m HeatingPermit 5"m-r.f�t ti =.S -c -7.-z.4
m
pi
N Sewage Permit t d.` / t&
-�
)
i
,
Plans Received
'
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I here ertjffy information submitted is correct nd there are no other structures located on this property except
,4yas shown. 0
Owner or Agent - Date
A LAND USE OR STRUCTURE PE -MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS �.S.j4OT A PERMIT.
( _v t esu tis, q,�Z ( 06. �. ' O NOT WRITE BELOW THIS LINE
l
Your street address will be g', id / / 1 ---c•-1,2_« The zone is! e l 4 &. /7
d 1.�
Sewage Permit Number Issued Building Permi cf� Receipt 9qQ Issued
��y
Remark`s® r
Forrn 523 Bldg. Code
P,
"1•07.1"
0
-7-!oN
Lot 11 , Except the W 90 feet and Lot 12, Except the E 90 feet of
Block 2 Bascetta Addition.
r o :RANKE. '1
b\r C
E.
GALE i5C
Et1.
NA -s7-34
CL A R E,N10E E...f.'A!`,/12r ,or\I ENG -I NE.E.R.S
N p,,-(7)Ni\JF. ROA
3PQK AN
) • •