1973, 11-12 Permit App: K3247 MHCounty of Spokanev WasVington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE,
WASHINGTON 99401
� C
APPLICATION FOR LAND USE OR STRUCTURE PERMIT f
GENERAL REQUIREMENTS
PERMIT FEE -.Z6'
to
ect a
g or
e of
PERMIT oREQaIRED. A land
r structure permit i erected, touchangety sallandnuse.erConstructionnmust conform rwith the
kind
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
HATER, water supply must
bditeapproved Cothe unty county and
State
permissiHealth
n must bepartmeobtained fromrtheoCountyrk on aEaBineter erestofficeisturbs
the surface,
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PRO1?red al5 side yard,zl5eSand side yardrfromtacflankingnstreet,sandbac25, rearthe
yard areproperty
requiredline, of at
least 25' is requ ,
STATE HIGHWAYS. where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress. ot be
tment
COUNTY RO1DS. Work on
ordancestreetstakes.oPointsmay of nngresspand oegresrmed snmust sbekapproved byythe aCounty rEngineer.
and work mus e
with
is
MOVINGperformed
MOVING OF BoNstAbeeobtainedis rfromrthetCo move an ounty Engineerland/orng lState HighwaybDepartment moved on a County or State
Highway, clearance mu
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS.
Builders
hrough civiluactionckCountysofficions ialsocan anot bring nts or daction ntoaenfond rcemcovenaents ntslor dedications.
which are enforceable
APPLICANT FILL IN BELOW THIS LINE
Name of owner
Architect
Contractor
Legal Descrif
^-"""j' -- Phone
Phone _ Engineer
Phone
Address
Addition Remodel Moving
Bld .Zone Fire Zone
DESCRIPTION OF WOR New. Sewage System Sto0es .
'79( �►�
Size of Lot _Total Sq. Ft. 7�� Valuation ,—
Const. Dimensions is %P�
(Frame, concrete, brick, etc.) �i�i•�- !h Chimney Fireplace
_Basement Foundation Const. (Kind) (Number)
Rooms�Baths (Full, part, none)
' Ext. Finish Int. Wall Finish
Heat. System Type of Roofing Bedrooms
I ! w _ — i — No. of Units _-/—
Use of Bldg. -11'q
Private Detatched _
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (eet or road loctins;
t) linesrand ty lstreets; (5)rdimensions of buildings;
(3) location of existing and
(6) location of sewage sys-
proposed buildings; (4) distance to proper y
tem and water supply lines. State License No.
NORTH
L: Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit _
a Sewage Permit _
AA
.4
Plans Received _
Plans Checked _
Plans Returned.
Plans Picked Up
Plans Mailed _
SOUTH
I hereby csx ify ormation ted is correct and there are no other structures located on this property except
as shown. C ,
Date
Owner or Agent,.
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
TEAS IS NOT A PERMIT.
00 NOT WRITE BELOW THIS LINE
Your street address will be i JF J d A2�,l 4'K�YI
Permit
Sewage Permit Number Issued Bul
Remarks
c.,..,. S9.A Rldo. Code
zone is ?'n Y T °
iptIssued
r