1971, 04-16 Permit App: I4035 AdditionAPPROVED AS NOTED •
Spokane Coun Bldg. Code Dent
County of Spokane, Washington
0
Date
BUILDING CODES
DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
PPCICAN FOR LAND USE OR STRUCTURE PERMI
GENERAL REQUIREMENTS PERMIT FE
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 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 au 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 re—, ._.220'7-.- Pk) dress _/ 2 .ej _‘e.+ -t Phone e-14:96-5171-0
Architect Phone glneer Phone
Contractor J,9155 ✓ �''� A ess /2-7L 0 ,E 90.4-1,7y1e=L a Phone ___
Legal Description of Property (Give complete description from deed, tax rec ipt, etc.) A// — 0 7 ad
Y /x
7i' 3 h,/,J- . 07'77 / c3 6.r ,LGr01:(3 -
DESCRIPTION OF WORK: New
Size of Lot 7 7 it c3 ti AV
Const. Dimensions
(Frame, concrete, brick, etc.)
Rooms_..._ Baths
Heat. System
Use of Bldg.
Garage or Carport Attiched a'
Addition I- Remodel Moving Bldg. Zone / Fire Zone -,
Sewage System Stories /
Total Sq Ft .S/%-1- Valuation Oa d
Basement Foundation Const Chimney
(Full, part, no e)
' Type of Roofing Cho 40 Ext Finish ,'`
No. of Units
Private Uetat ched
/J -/J (Kind)
'7i Int. Wall Finish
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.
Fireplace 6
(Numbe )�
Bedrooms
eft
to
N
NORTH
SOUTH
I hereby certify information submit
as shown.
•
. Owner or Agent
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up _
Plans Mailed
s correct and there are no other structures
located on this property except
�/—/e,-7/
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
l fine
2
�e zone is
Receipt 3S I q Issued
form 523 Bldg. Code