1971, 11-08 Permit App: J1241 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 4g-0
PERMIT REQU1RF3). A land use or.structure permit is required byCounty 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. 45-133and47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the tront 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 111 BELOW THIS LINE
Name of Owner .,72/0„,/, 7..476a/
Phoge_/7-_7—AdressaDdi
Architect 0-
Contractor,04/7//54074---c5
Le_1
gal D scription of roperty (Give complete descri tion from dee ti receipt etc.)
Inn°
__SAFIW, • A' .
gineer
Phone
• Phone
Addressa5±4% genie A7reetCre0 Phone -)9/ 7s2
'7 i 00
.,Co c/z/77), es, 3/%1>fre
DESCRIPTION
VV0495,),iWew )(
Cons"'
Size titto 47 X / lw
Dimensions Cirrn
Addition Remodel Moving
Total Sq. Ft.
Sewage SysterJcfr 04/c --
Nag. Zone
ValuationZ Er,
/ Fire Zona ---3 , •
Rooms 4-5 Baths 52- Basement//( Foundation Const. cenc-iir ChiumeYleik
C Fireplace 2%2--
(Franne, apex ete, brick, etc.)
._!=1:Type of Roofing C Oil? Ext Finish le/C/ K
0
Int. Wall Finish 12P/V2e4
(Kind) (Numb")
Heat. System 1 part none)
441
Use of Bldg. /tap', lice No. of Units ______ Bedrooms :3
Garage or Carport Attached c,942 /7-77t- Private Detatched
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. .
51pRTH
67.6-44z °a"
c;‘,K
4(att
I hereb
as shown.
ALA
THIS)
Your street address will be
--7
e zon
Sewage Permit Number Issued Building Permitc7T771tb:eceipt
Remarks
SOU TH
Owner or Age
USE OR STRUCTU
NOT A PERMIT.
REQ
Plumbing Penn
en Heating Permit 1(
re, • Sewage Permit
is correct and there are no other
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ures located on this property except
r
Date
ERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT ITE BELOW THIS LINE
Form 323 81dg. Code