1971, 07-06 Permit App: I4971 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
,O.iGAPPLICATION FOR LAND USE OR STRUCTURE PERMIT #,O--
GENERAL
ENERAL 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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
APPLICANT FILL IN BELOW THIS LINE 99.:24)7
Name of Owner �� i ... � / i/. .' .� Address Phone /4/0-9-62L 9/
Architect p Phone Engineer Phone
Contractor MX/ Address '/Phone ri
Legal Description of Property (Give complete desc iption eed, tax ece t, e ) 6r gs'7 /'- / d
A- Q 7/ a /3,4-A' /.2 f.� 4a from,Q,z� .
DESCRIPTION OF WORK: New Addition
Size of 1,91.// /�� 4/ A' 4 1. h4I
Const. Dimensions 6 4 X a
(Frame, concrete, brick, etc.)
Rooms 7 Baths oZ Basement
(Full, part, none)
Heat. System ,1 . _ / =f%i
Use of Bldg. /7W�`�I P� yp iyf.C'�
Remodel
Moving Bldg. Zone / Fire Zone3
Sewage System ail" '- Stories
Total Sq. Ft oQ g Valuation Alled
Foundation Const
Ext Finish /
Garage or Carport Attached
er
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.
Chimney�yFireplace
(Kind) A. (Number
Int. Wall Finish
PLOT PLAN
No. of Units Bedrooms -3
Private Detatched
NORTH
Th
_.
m
f_3 a c K 9,51ii
State License No.
, a3 0/ /'729
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certif nfor tion su itted is correct and there are no other structures located on this property except
as shown. _ _ _ _ ,r - c 4, 7 {7
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be , a ' 2 Q. % The zone i
Sewage Permit Number Issued Building Permit pYn t/97/ Receipt5'3 Issued 7-6 —7/
Remarks
Form 523 Blda. Code