1971, 08-11 Permit App: J0320 Residence• •
County of Spokane) Washington
BUILDING CODES 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 structure 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 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 47235.
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 UNE
Name of Owner
Architect Phone
Contractor 5/.4h,i - t #i . E
Legal Description of Property (Give complete description
‘9' eF- 2,0
ddress �:rxs3, 6,,c4/1* it4A.t' C�✓4
Engineer
Address
Phone
Phone
Phone
from deed, tax receipt, etc.) / ,.!c L 4Y i'6'/2-
/ 4 I F /j -L ,S r th_ J 4-1
DESCRIPTION OF WORK: New y Addition Remodel
Size of Lot e...;/`' X 14/ 7 S; I '
Const. Pi -MA o i. Dimensions 32'i y 3:---; X 2 S
(Frame, concrete, brick, etc.)/� /u )LJ
Rooms /' Baths Z. Basement i.iLd_ Foundation Const .t. -t
_ (Full, part, none) /
Heat. System 64 t 14, Type of Roofing �f sil,yNL 1 Ext. Finis
Us of Bldg.
ag or Carport Attached
%S.t r
raw sketch with
5t,tA:�
NZ. u,
Moving Bldg. Zone
Sewage System Sr/1 74 C" Stories i Y
Total Sq. Ft. -r--./_ Valuation 2/160i/
:::4t'Tr= 102 %'fChimney"/7L Fireplace j
(Kind) (Nuyber)
h /� ty rvi"h= Int. Wall Finish 6x/4 0-, .71
No. of Units _/ Bedrooms f
Private Detatched
1 Fire Zone
2
PLOT PLAN / !R
oposed buildings; (4) 2,
dimensions showing: (1) property lines; (2) street or r a ions; (3) ocation of existing and
distance to property lines and streets; (5) dimensions of buildings; (6 location of sewage sys-
- tem and water supply lines.
NORTH 6/`i4 C,
m
1.
A r
o05114.
11 1 Vf
Msg. I
I hereby
as shown.
State License No.
Ind. Ins. Acct. No.
CJI -N=jS-
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
42/-0 SOUTH
certify information s bmitted is correct and there are no other structures located on this property except
Owner or Agent
Lr/l�
lc -
date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number Issued Building Permit
Remarks
DO NOT WR E BELOW THIS LINE
B/,
e zone is t�
Receipt �Issued
Form 523 Bldg. Code
ST ivo :sruewge OA CuP.a
4' COWC.
wtR
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PLOT PLAN
3L19I F.: TGNMSTON
Q/4s1c. 911
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900a GRTCE "LIVE
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