1972, 02-22 Permit App: J1943 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /
GENERAL REQUIREMENTS PERMIT FEE `z/.Q—
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 Owner
Architect
Address /2 9 n41 e 'trt' C ( Phone / _"- let;
PhoneEngineer Phone
Contractor
Legal Des
Address Phone G ;:� /a_"
from deed, tax receipt, etc.) Puozzi, f{PA R7 of .?. 1 cc,
ir. ASV /71,
ptipn of Property (Give complete description
DESCRIPTION OF WORK: New
Size of Lt g}... >11
Const
/.7 ii
/ / /
Moving Bldg. Zone / Fire Zone 3
Sewage System-CFiNti:c Stories ) •
Total Sq Ft Y 7 -3
Dimensions
(Fra , concrete, brick, etc.)
Baths / Basement
(Full, part, one)
FH Le s Type of Roofing
'/0`,.2 !- "
Rooms S
Heat. System
Use of Bldg.
Garage or Carport Attached
Foundation Const
c-wvA
•ter, ,,,.�y /Lc'rt-t'.C�a-yvct
ern...C. •
Ext Finish
Valuation / %j a-441
Chimney �"•t'�' Fireplace 47
(Kind) (Number)
Int Wall Finish
No. of Units / Bedrooms
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
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.
of-az_s3
Ind. Ins. Acct. No.
6 C.-
REQUIRED
v
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify fnfor: do submitted is correct and there are no other structures located on this property except
as shown.
or Agent
Date
A LAND USE OR ST 'UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT 4JPERMIT.y�
1.2 %A maADO NOT WRITE BELOW THIS LINE
n(
Your street address will be .� 1� �P"L2 The zone iF04., .(,(_
.�X A
,i (JJ.&-
Seaage Permit Number Issued Building Permit/9@A3
Receipt R'7 Y'9, Issued
7^- l
Remarks °1 -33 - 72 (9/c",a-S-a4. CPA nrnri
Form 523 Bldg. Code