1972, 04-13 Permit App: J2570 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,9 412
GENERAL REQUIREMENTS PERMIT FEE �9
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 onvater 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IH BELOW THIS LINE �� ,�� ,/�,�
' ry per'
Name of Owner .! -/XA , i- �JZ/O.d Address 7�0 tri :ted ?— Phone I�(/74—e
Phone
Architect - Phone Engineer
Contractor /0---4y14-2-- Address n Phone
Legal Description of Property (Give complete descrip• on from deed, tax receipt, etc. 1)(22, fd 4 354 S 6`"//
___ /..D 7—
DESCRIPTION
DESCRIPTION OF WORK: New
Size of t / G 0 X /2a
Const Dimensions e1 G.' A-tQ — X -2
Addition
Remodel
Moving Bl^dg� one Fire Zone 3
Sewage System 1xl/ zje i Stories —ero
Total Sq. Ft. _10.24—Valuation 0 0 0
(Frame, concrete, brick, etc.) �/J
Rooms - Baths / Basement-hJh/ Foundation Const
(Full, part, none)
FA • Type of Roofing ti --
Heat Syste
Ilse of Bldg./I s /XI , i/C D.d./kLeitto LOf: /,V.P
Garage or Carport Attached
Draw sketch with dimens
proposed buildings; (4) dis
tem and water supply lines.
l _/Y4-r,,c( i Chiron Fireplace /
(Kind) (Num er) 4
Int. Wall Finish
No. of Units Bedrooms,
Private Detatched
Ext Finish 7-78
PLOT PLAN
ons showing: (1) property lines; (2) street or road locations; (3) location of existing and
ance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
NORTH
Jae— aVia,
as shown.
SOUTH
certify information submit d is correct and there are no
def/
Owner or Agent
A(YAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS 1S NOT A PERMIT.
REQUIRED
Plumbing Permit
w, Heating Permit
Sewage Permit
an
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this
/4-/3-7�
PREMISES BEFORE
DO NOT WRITE BELOW THIS LIME
property except
Date
CONSTRUCTION COMMENCES.
Your street address will be
Sewage Permit Number
Remarks ,e9_
Issued
Building Per
zone
Receipt �-U Issued
Form 523 Bldg. Code
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