1971, 06-01 Permit App: I4577 Residence• i
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 G(U�
APPLICATION FOR LAN® 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 must conform with the
Spokane County Building Code and Zoning Ordinance. Construction isubject 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.
ii, SETBACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
I 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 1'T7A&19 0CAlnelg Q Address O L8� � //�fCfL_ �i Ke Phone
Architect Phone Engineer Phone
Contractor .S`C44,c90 456Ns7,- 60-, Address Z15, /f,04 Phoneh�k
.Legal Description of Property (Give complete description from deed, tax receipt, etc.)
-ocr- # �r3 G,�`/ �,� �r����Y/�iG S - �S moi✓ �✓ 4 S 3 a Z a
DESCRIPTION OF WORK: New- X _ Addition Remodel. Moving Bldg. Zone Fire Zone %5
' Size of Lot � 2d � Sewage Systems � Stories
Const. Dimensions otal Sq. Ft. -40494r �v Valuation �/,•%�� p'
(Fra e, concrete, brick, etc.)
Rooms Baths Basement G Foundation Const. �f«�T� Chimney _ Fireplace
(Full, part,onh e) '" (Kind) (Number)
Heat. System WQ - 4� Type of Roofing 6- Ext. Finish h�Q oD Int. Wall Finish Z�,-e n,1411
Use of Bldg. ,2TO N,p � 1-,r'iAt i i r� -!3 il/L�O�LT No. of Units �_ Bedrooms
PLOT PLAN �� 0
aw sketch with dimensions showing: (1). property lines; (2). street or ro d *locations; (3) location of existing and
(?V�10)vosed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit +1� � / 5;- 5
M Heating Permit
a Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cegS Wy.information Aubmitted is correct and there are no other structures
as
ASE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
_ DO NOT WRITE BELOW THIS LINE
1 cated on this property except
19-71
STRUCTION COMMENCES.
Your street address will be J C,. Nr"&t 2),�1/� The zone is �/62t'��f%•
Sewage Permit Number Issued Building Permit W01 Receipt,Issued
Remarks
Form 523 Bldg. Code
stEg
cave/ 6rg .:o(411/6-701 :
PRUJ`ECT
2t ro
RE.
AMY/. 19.76:
DRAWN .BY.: _:_•
....,..
FRANK L.. SCALER( VESIC'N'ER"/BLD3R,._•
E 7804rUPRIVER:'DR.._