1971, 03-29 Permit App: I3832 Residence1
Cowl y of Spokane, Washington
APPLICATION FOR LAND USE OR STRUCTURE PERMIT/
GENERAL REQUIREMENTS PERMIT
PERMIT REQU'RED. 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 47-255.
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 LIN
E
PhonV y&�/
1 Name of Owner _/ d - r fi at' E " `" Address
Architect Phone Engineer Phone
Contractor -?-'t Address Phone
Legal Description of Propert (Give complete description from deed, 'tax receipt , tc.)
,Z1.-" T /57 4520c04/ /8 4,r01 ;+ e •,vim' c -crepes ii�.6 / cru:..
(7474-e.y sti e' i ...5;-='.04'.e1 ie .r �— �r.*Y.7 ,•' rte: /t -"CJs!
Kee 34)/7 i60wr s;; ..)
DESCRIPTION OF WORK: New {/ Addition Remodel s Mov
Bldg. Zn. Fire Zn ,Size of Lot ,=,r)(' /.Se, Sewage System ` f C 7�40tor.ias /X
�- / / ( SEPT IC TANK, ETC. ) WV, -
if
r
Construction �,9,�/�_ Dirnensions_gb °r' 7. �'NS Total Sq. Ft.,/+2� Valuation / *:,/",�
(f RAM ,CON ETE,BR ICK,ET.) /� t �✓
Rooms /,04713 sement �i*,[.0 Foundation Const. C"v,s(".' ✓e Chimney'/{f ireplace i Htg. Sys.o7`/;..eFuel •'
I f ULL , P ART,N ONE) (K INO) (W• ,AIR,STEAM,ETC )
Garage Attached '"""- Type of Roofing d '�''e''�•s/f#,IVXt. Finish//f Int. Wall Finish %i ,• .�
(COMPOS IT ION ,SH INGLE,ETC. ) (SH.,METAL ,SHAKE) (PLASTER ,DRYWALL ,ETC.)
Use of Bldg. Pte' 1d F.r'r f;. No. of Families / Miscellaneous
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existii.g 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
I hereby
as shown. ,
� �� ..... OUok-
.T_H
tify info tion submitt
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1
State Li.:ense No,
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Ind. Ins. Acct. No.
REQUIRED
Plumbing PermitG07.`%f'✓`.°-01'
Heating Permit
Sewage Permit4.4) i (f " el iee/t
is correct and there are no other structures located on this property except
;'/1'
Date
droner or Agen
RETURN TO: BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
0--w -iia
DO NOT WRITE BELOW THIS LINE
Your street address will be , L
_Artie zone is
Sewage Permit Number Issued Building Permit
).=� � ' Receipt 75 Issued
Remarks
Furry 523 Bldg. Code
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