1972, 07-25 Permit App: J3861 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 66
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 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.
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 pavner/ d7 a AddressCjc cP7 Phone .711 -%y Q 7----
Architect
'Architect Phone Engineer Phone
Contractor
'` Address Phone
Legal Description o!•' PLroperty (Give co plete, descripylon front , tax receipt, etc,)
/`/o- / /(d ems% /?e,,,n •
i
%.2 d .e9e 1,/i�ed
Fsy—/GM•e-
DE:,�CRIPTIONQFWOK :
Size -of Lo �u
Cont. -row- Dime
(Fran ccon;rete, brick, etc.
Rooms ( Baths fl"
New Addition Remodel Moving Bldg. Zon
CD Sewage Syste �S
nsions 4&%P / - goK Total Sq Ft
Basement Foundation Const B G/'z Chimneyt���rrryJJJ
/Gs/ Fireplace, 2 --
Fire Zone
Stories / VC'
Valuation TP S ZIF
Heat. System
Use of Bldg.
Garage or Carport Attached
(Full, part, none) (Kind) - (Dumber
/Pen,Arg �(/j' /
(/ J/.G�y r, r Bedr oms -�
e of Roofi
Ext Finish Oa -04 Int. Wall Finish
No of Units /
Private Detetched
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
5\
SOU TH
fy informs tio ub to is correct and there are no other structur located on this property except
as sh wn. �/��2 � �S
f Owner or Agent �// e
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
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit Sint ell 75-4-4
Heating Permit S/ e7 ` Ir-"
Sewage Permit e?u-onty
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
AI hereby c
Tour street address will be
Sewage Permit Number
Remarks .1C/\J)
,J D e2/Y, `"( V LG( The zone is
r>MAtia
Issued Building
it Receipt
Form 523 Bldg. Code
5" y
r Y
/
1'
,
1'lllit[
0}c/O
_ 11'
SL2 n r/S e • I/1 es
Fr�f /40, 9 tv
enu 0- -/‘'
f/
r/1- .
t /1'
ess-
J'°% k T6(/ -lass c"
64.
t-CY'- /6/2-
/a / v? .1/4GA /�
:S'f5'/ ( toe /fCrrJ /1
•
co
i
CU
N.
0
m
HEALTH DIST.
JUN 2 3 1972
ENV.HEALTH
F N.A. APPROVAL ONLY
SPO. CO.HEALTH aaDIST.
gam ((Jolin2
0
z
N
w
0