1971, 06-18 Permit App: I4801 MHr tr
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ..__/L
-------------
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.
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.
RES'Tf)JttICTI1 COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
wpi%h ar e forces le throyfg, 'il action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOWCLHIS LIN
Name of Owne
Architect
Contract or
Legal !f,scr ipt ion of Pro
Phone
ddress
Engineer
Address
erty (Giv omp ete -seri' ion f om eh, to
e_ , iearz„ 1 7
S
DESCRIPTION OF WORK: New
Addition
Remodel
Phone
Phone
Phone
ecel� etc.)
7414
Cons . ia"' i r,. fns 5cyj
(Fra t, concrete, 'rick, etc.) �/f
Rooms )! _l__
__Basement Basement Foundation Const 1'1 J `
�
/ (Full, part, none)
Heat. System �{g�t Type of Roofing Ext Finish
Use of Bldg. ilA-02,6-1-ra,,g_ 4 21e.o-L./S'n Pf-r+..-a
Moving
Sewage Syste
Total Sq Ft.
BId • /Zone / Fire Zone
Stor4Rs
Valuation t% r)
Chimney Fireplace
(Kind) (Number)
Int. Wall Finish
No of Units Bedrooms
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
Private Detatched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
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
SOUTH /37)' 7j
I hereby ce�riJ,�'fy inforp�at ion subb��gqitted is(/jp�orreect and there are no other structures located on this property except
as shown. ,' (� eZ-�77'W/ k — 42 --2
Owner or Agent f�G)' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT .4 PERMIT.
DO NOT7WRITE BELOW,THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building PermitledAL
+'. a zone
Receipt
q, dr it/4_
Issued
Form 523 Bldg. Code
•
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND 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 mast 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 Bork on tater 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 thestructure 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 cannot bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LI E
Name of Owner S • A,&4se _ ddress ?at]
Arehite t awfam Phone - Jrigineer
Contracto �/ i I �- de r3.p'tAddress . i .
L g scripti9 of Prope ve compleye io fr m , tax receipt, etc.)Aar
!moi Oa
7J
Phone
Phone
Phone, 7 —.34 C/G,
DESCRIPTION OF WORK: New [/Addition
47) 7/S7
Size of L
Con
(Fra, concrete, brick, etc.)
Roo s " Baths Basement
(Full, part, no
Heat. System Type of Roofi
'
Remodel Moving Bldg. Zone / Fire Zone
imensions
Sewage System Sto0ss
Total Sq Ft. t 4-26, Valuation- /d<2.&
Fo • ation Constv/ ` tkC1 / /1 Chimney
Ext Finish -7-7/7
Use of Bldg.
Garage
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
(Kind) (Number)
Int. Wall Finish
No. of Units Bedrooms
Private Detatched
NORTH
SOUTH
.. mitted�t and there are no other structures located on this property except
i -7
I herebyAse tify int. oration s
as shown.
Owner or Ag
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
Date
A LAND USE OR STRUCTU E PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
ssued
AO
ons
7 1—/»/1 / �' � JA
_ 7
Form 523 wg. Coda' S OA����.— 4 1 • w 1ari�i .7
Building Permi
e zone is
Receipt
ssued