1971, 10-07 Permit App: J0935 Residence•
APPROVED AS NOTED
Spokane County Bldg. Code Dept.
Date
by
0
Comity of Spokane, MI shingf®n
_._.._.___._DU1tiLFN&:C*DE5 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 structlure 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 vork on eater connect 10 disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Of ice.
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 Am. 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 d 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 1s 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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE, D aiL. q0.; 7
Name of Owner ddress /90 07 e, -7j i Phone PYA Lo -2:051r7
Architect Phone Engineer Phone
Contractor �,r ii�'tt--i - Address o Phone '''tit
Legal Description of Property (Give complete description from deed, tax receipt, etc. 1/I.Rif{'( el 9,5- / ^ 0-57/
L.Aril .0 k n- S MLRA, E / syeH App
DESCRIPTION OF WORK: New
Size of I,j,/0X /-46
Const. ,FO44,t
Dimensions a `X So f
(Frame, concrete, brick, etc.)
Rooms 6 Baths —L_ Basement/�
�t Foundation Const
ii Addition
Remodel Moving Bldg Zone Fire Fire Zone J
Sewage System O� O.jl[Aw .(i Stories
QS)1:142 Total Sq Ft. d. elO O�/VaalluLa�tion340 as
C (� Chir 'ejr -d- Firepl4e
J� Fy�� (Kind) (Num er)
Ext Finish �k2 ! Int. Wall Finish
No. of Units Bedrodms . 1
Heat. Syste
Use of Bldg.
Garage or Carport Attached
(Full, part, none) ,Q Q
-4---Type of Roofing Ml �i1 Ai(
2.-1t67 ,p. "l C.f�
/ 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 ar.d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Private Detatched
NORTH
hereby certify information submitted is correct
akY s_ awn.
Owner or Agdn
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
�i DO NOT�AWRITE BELOW THIS LINE
Your street address will be ( ,.//,�/l 0( �/i,l/k.C_I_
Sewage Permit Number Issued Building Permit
Remarks
State License No.
CY-,t il-i•U-./'
Ind. Ins. Acct.
No.
REQUIRED
Plumbing Permit Iry-
Heating Permit ✓
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there are no other structures located on this prop1rty except
/0-7-7/
Date
CONSTRUCTION COMMENCES.
e zone is
Receipt7/55 Issued /A
Form 523 Bldg. Code