1972, 02-22 Permit App: J1942 Residence• •
County of Spokane, QAWoshington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT °o
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 most 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 vork 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 Phone
Contractor /Q -.L -+-•..t
ddress
ag ineer
Address
l ` ICY OE:strt+ c
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
/ 7 5 _, / 7 9 0'10! 6— .rlt....i�e-r-,0 Lis- ' _A-, lid. /,:f7'.sx.. .�p/.r,.n,-,.v, �i,°.....
-ejl,O�,d, -ecs-a /._0, 0 ez ire -t'# �7yp�.-icor
DESCRIP ION OF WORK: New Addition Remodel
Size of Lot as-, >1 /80 ,
Const. 'V,Kb-rrU Dimensions
Phone %a(2- 8-3— (O t�Lt
Phone O in ).
r uF uyf•"f-
,-r Aro?/6 i /r -
383Cx-r 1 3SxJy
Moving Bldg) Zone
Sewage System
Total Sq. Ft. icf-rO
(Frame, /concrete, brick, etc.)
y
Rooms Baths a Basement
C4. (Full, part, tone)
Heat. System F4, 6'AS' BType of Roofing/jC D r
Use of Bldg. / 4->-u.Lw .a7C4-i-24-,n,{-C.
Garage or Carport Attached /
Foundation Const
Fire Zone
Storrj9
Valuatio fra,g0770
Fireplace -z".-4—
e^ -en -i -t Chimney Mailq,, (Kind)
Ext Finish »1M.*' -Lit Int. Wall Finish i
No. of Units ( Bedrooms 4/
Private Detatched
s
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 f/r o A. s
t iAG7.tl4 s1
SOUTH
m
N
ti
State License No.
?3-° -Gxs.3
CC
Ind. Ins. Acct. No.
97-/) . q f
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Ree
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informatypn submitted is correct and there are no other structures located on this property except
as shown.
2.1 ti!
6-v1
Date
A LAND USE OR�STK( U6TURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ct- -Q a.(9,uiw,p, 12 DO NOT WRITE BELOW
/ftHIS LINE
Your street address will be Seim D 1 I � tri -804/ el-yt/ a zone 1
—a,z-7Q
Owner Agent
Sewage Permit Number Issued Building Permit r ceipt /279
Retiks -i2 i _otis- v r7vict�e-
Issued
Form 523 Bldg. Code