1971, 03-24 Permit App: I3772 Residence• . • *
County 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 mast 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 47.235.
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
Name of Owner U 4 ddress
Architect ,/
Contractor U(ir 1(-ff't'Cr4
Legal D scri•ti•n of Piga ty (Gv
174 •
DESCRIPTION OF WORK: New
Size of Loi
Const i rr4 Yj' Dimensions
e, c ncrete,ic ec.
(Frame, brick k t )
Rooms
0
Phone Jai- "�'7/C
'Phone Engineer j Phone i /Y/ 7
(vn e Address s//�3 ,S, / e�, J�fc/f 6 di phone/1),i t/5`/�)
complete description from de d, tax receipt, etc.)
et
3,2 5 147 ®4"o)
—
3Addition
Remodel
jj Moving Bldg. Zone Fire Zone
J� !� e l Q t� 1 Sewage System 1 ir Stories
,a? S y..74' (i.t G( ► -47C) Total Sq Ft/ -1t •J`C i''' /15.4a Valuation 3 ?, o (-)
nt k--,-.4. //Foundation
. (Full, part, none)
Baths Baseme
Heat. System
Use of Bldg. r S
Garage or Carport Attached
01 11X Zi 7AV 47 e -
Type of Roofing
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.
Const ` r D k) d ; Chimney Fireplace
r (Kind) (Number)
Ext. Finish 10 e e d Int. Wall Finish ,,1/1,001 /1
No. of Units Bedrooms
Private Detatched
7
NORTH
♦/53. D 4/
ti
A
1.4 DU =.r"
State License No.
974-7-, 7/41
Ind. Ins. Acct. No.
I hereby testify
a shown.
H
information submitted
corj ct and there are no other
REQUIRED
Plumbing Permit & b / Et /4'
Heating Permit N-', M et /L -)f i 1
Sewage Permit ,(c / 444 i';i!j
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
Owner (fir Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
>/7 /
Your street address will be /
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LIN
Issued Building Permit
e zone is
L'Iteceipt g 7 'Issued
Form 523 Bldg. Code