1971, 06-28 Permit App: I4887 ResidenceBUILDING
County of Spokane, Washington
CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 22
GENERAL REQUIREMENTS PERMIT FEEL -36
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 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
'Se /7 i IYi /7'J eL Address 4 £7o3 /t/4"%
Phone Engineer
�., Address, 1.37/3, Bu t'Ji e/
Oa
Name of Owner �/- Y%/7 L e
Architect I_/ /
Contractor �T� %j/� YV e, c /7 e
PhoneJ(/Qel - 2. 2 L.f
Phone
Phone 5.4-46 'c96//5
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
A.014. 2.. VA,c43_ Canr <Pi/PC/°%Y r 7;s a"- /6 /2a .f2.4 J'/:.2in- r
Atace,,,c .et.' - - /yam- a- a a .. ,% / o 144✓/7t • , Sap% - igs 9>/« .. fir.. GJ o,e
0r/Se// - /o6 / ,.
DESCRIPTION OF WORK: New Addition Remodel Moving Bldg. ZoneSFire Zone
Size of Lot 70 X /3 0 . / Sewage System --.57-2•142c /c • Stories �a
Const. Pig N -.7•-r-; Dimensions z� X �` / Total Sq Ft //!r(0 Valuation 1erer)
(Frame, concrete, brick, c.4-7.4 7P
Rooms Baths 11—Basement A -----Foundation Const as • YOPgi ey7Lic/I• Fireplace Z
/) (Full, part, none) / (Kind) (Number)
Heat. Systeme IVO -//t-• Type of Roofing e.2qi� Ext Finish 67..,4 , g Int. Wall Finish A/p ' u/i�/
Use of Bldg. yea rfdnni� . / a No of Units Htdrooms
Private DeLdched
Garage or Carport Attached O.7h •QP •
2/x z/
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
I hereby certify infor
as shown.
SOUTH
a
N
y
State License No.
2.23—/
Ind. Ins. Acct. No.
2S✓ 2--
REQUIRED
Plumbing Permi
Heating Permit C cCvW
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
emitted f cor ect and there are no other structures
ocat
on this property except
,) P--.----�2�„ /7/
O.tner or Agent to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS HOT A PERMIT.
DO NO WRIT BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued 'auildi•: Permit
e zone is(/I ,
Receipt L1 c! ssued
Remarks -
P1
Form 523 Bldg. Code