1971, 05-07 Permit App: I4297 Residencei t _
'AAPPROVED,} AS NOTED
Spokane/County B!dg. Code Dept c�/� / County of Spokane Washington
Dates
BUILDING COQ ES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
1 by .— .1
AFFLICAT'ION FOR LAND USE OR STRUCTURE PERMIT �r
L7
GENERAL REQUIREMENTS PERMIT FEE
IT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
ind or alter any building or structure already erected, or to change a land use. Construction must conform with the
pokane 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, peF tSsion 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 h,
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 Stat
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
Name of Owner (11. s
Architect
Contractor
""`"
PhonV-L
Phone Engineer Phone
Address
Phone
Le Description of Propfrtzy) give complete riptio from deed, t r ceipt, etc.) ti fC Lz_ O��
g ag.s 3y/3 -
1
DESCRIPTION OFWOX : New
Size of L t_, 7L5 r' 0
Const. E ' ' Dimensions -5-3.. 6.
Addition
Remodel
Moving Bldg one
Fire Zone----
Sewage System. to 'es - mor
7 Total Sq. Ft Valua � j POO
(Franfe, crete, brick, etc.)
Rooms Bat
�//� C....-_-e",-----24,.__,C-
Basefnent Foundatign Const � Chimney Fir •lace
(Full, part, one) -f� /' (Kind) (Number)`
-
Heat. Syste T pe of Roofinr ! - �.�r xt- Finish ,? -.2,-*.-.c.-1-1‹:
Int. WWl1 Finish- ��.
Use of Bldg. ......e-- -C_ `i- 1' �T. 2.�. �- . �t �L nits '
,- Private Detatched
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing anc
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
,f01-1
-4
NORTH
SOUTH
State License No.
i23 -0/ 1/37? 1
Ino. Ins. Acct. No.
REQUIRED',
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informationltted i' cyfrect and there are no other structures located on t is property except
as shown.
,G
Owner or Agent Date
E OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
OT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be -,Z6—E112 - J /A , The zone
Sewage Permit Number
IssuedBuilding Permit 93;97 Receipt
Issued
Remarks
Form 523 Bldg. Code
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4.11111.11.01,1•MI•W