1972, 09-28 Permit App: J4573 AdditionAPPROVED AS NOTED
Spoka County Bldg. Code DeCannty of Spokane, Washingt®n
o
Date S DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
by
ATi.ON FOR LAND
GENERAL REQUIREMENTS
USE OR STRUCTURE PERMIT §
PERMIT FEE /71
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 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.
t
COUNTY ROADS. Work onl-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.
k h_o r 'APPLICANT FILL IN BELOW THIS LINE
Name of Owner / 0,0e44. .: "' _ ddrii ss �
id Z/f—.o111`.- Phope 92 5L��3�—
Architect Phone Engineer Phone
•
Phone
Contractor Addresli
Legal cVn of roperty (Give complete description from deed, to receipt, etc.) p
.,
-'b� 'CY4-GC.IV
DESCRIPTION OF. WORK: New... Addition Remodel Moving Bldg. Zone 1 Fire Zone
Size of Lot / AC42. . Sewage System / -EA— . _ Stories 2-
Const. / 2(Yac� l'‘�
T
Dimensions � %C �otal Sq. Ft (O0D Valuation ai 1/4540 r
(Frame, concrete, brick, etc.)
Rooms Baths ..„,../...-Basement Foundation Const � C� t -7i ' Chimney Fireplace
(Full, part, rip) (Kind) (Number)
Heat. System -ELC C- ` Type of Roofing C yet449 - 1 Ext Finish /// Int. Wall Finish plat L
Use of Bldg. %ffzo-qsL —oO No. of Units Bedrooms
Garage or Carport Attached leh_ Private Detatched
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. ,
NORTH
XPi ^ s obi,4 m
I hereby certify information submitted is correct
as shown.
State License No.
Ind. Ins. Acct. No.
REQUIRED q
Plumbing Permit
m Heating Permit
Sewage Permit
• Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
e zone is al /
Building Permi / Receipt Issued
Form 523 Bldg. Code