1972, 03-28 Permit App: J2374 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 3"
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 most 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 fir GUn t r "a 7-21- Address / 1 e
Architect67/be5 tau' Asso PhoneA)7VVVfEngineer Phone
Contractor Address Phone
Legal Description of Property (Give complete descriptifrom deed, tax receipt,
Lai3,Jdescription from
A>er.K $' /4,)) VIe,.c, rst les
At�6�s�p
etc. )
2-'75-y3->0.0
DESCRIPTION OF WORK: New ! Addition
Sire of Lot
Remodel Moving Bldg. Zone
Sewage System
Const Ffra n, Q- Dimensions 4' r/ )( 27
(Frame, concrete, brick, etc.)
Rooms N Baths 7-- BasementF" / / Foundation Const
(Full, part, none)
Heat. System 4 as I= uF• h Type of Roofing Asp j,
Use of Bldg. R P 5'r /f N C -e
Garage or Carport Attached C- A r 'P P o 'n tr e
/ Fire Zone 3
Total Sq Ft 2-3/7-4
C O /1 e' v P 7 e Chimney
Stories /
Valuation 8.2 So
Fireplace
(Kind) (Nu ber)
Ext. Finish 7 / ^/J Int. Wall Finish Dry wa.11
No. of Units Bedrooms _
/'x jO 1 Private Detached
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.
H
I O £ •-
NORTH
S)sy vtPIA,
1_
4,
A
.y
O—
T
46 1
'
t-, t_ -t
,n
1
I hereby certify
as sh.,y./
SOUTH
if
State License No.
2 -2 -3 -o/ -/9c7,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
nformation submit ed is correct and there are no other structures located on
e.
this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
DO NOT WRITE' BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Your street address will be ,-,c,90z..9 L= -cid . The zone is.
Sewage Permit Number Issued Building
Remarks
n
o- ./297 e
Receipt
Issued
Forrn 523 Bldg. Code