1972, 02-22 Permit App: J1941 Residenceo s
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 8
GENERAL REQUIREMENTS PERMIT FEE j
02
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 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 onwater 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 thestructure 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 ed
99:2_0h
Name of Owner E - _ „✓ • - ddress .2 C G e 5 a • f Phone f^S' ` S70%l
Architect Phone Engineer Phone
Contractor ;„....4„krue Address
Legal DeBcriDtion of Property (Give complete descrip ion from deed,
1//. 01/
t {p Phone
DESCRIPTION OF WORK: New. Addition
Size of L t ft, ) j( / 217 '
Const. 71.4.r.a Dimensions YAr 'X 1S' t 3 8 )-
Remodel
Moving Bldg. one
Sewage System
Total Sq Ft.
(Frame, concrete, brick, etc.)
Rooms G Baths 611- Basemen
4 (Full, part, one
Heat. System 4' Type of oofing (d)-2-71-
Use
d) -2- //dt-
Use of Bldg.
Garage or Carport JMocked
Foundation Const
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
rn
rn
NORTH
Fire Zone
Stories %
Valuation �'-•7 no
C-5,1_,41. , Chimney '`-// Fireplace �i
(Kind) �/ (13 -umber)
Ext. Finish %%/2 -/a -C-6 Int, Wa11 Finish F'C L,--t/a
No. of Units / Bedrooms 457
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of -existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
El)3a7r
SOUTH
State License No.
0/.•i -z / —L ?-5 3
Ind. Ins. Acct. No.
9/ -acs' 9 s'7
REQUIRED
Plumbing Permit
,n Heating Permit V
H
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information ssuubmmittedd_is correct and there are no other structures located on this property except
as shown. e04 -w1 y ��/`� -7-fr.) - �. 2 - 7
Date
CONSTRUCTION COMMENCES.
or Age
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
be 1.'s 3 0 7 C... C jdi- The zone is.4' c 4_,,E¢A
♦-L/__._r 7 Receipt Issued
Your street address will
wage Permit Number Issued /Building Perini
Remarks .2 -.�.3 -72 (' ftr- (..ro p�3.u/ Fn mai r
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code