1971, 09-07 Permit App: J0591 AdditionAPPROVED As NOTED((��
SpoAar,i Coi•-,`'y `1'...` Co a Dcpt.
i ;t,=..0 9- 7- 7 C • my of Spokane-WaashIngton
0(&,4V . ILDING CODE DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201 i , f>
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
kind or alter any building or structure already erected, or to change a land use. Construction most
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.
structure of any
conform with the
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a
least 25' is required, a 5' side yard, 15' side yard from a flanking street,
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be
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.
45-133 and 47.235.
set -back from the front property line, of at
and a 25' rear yard are required.
obtained pertaining to set -back and ingress
APPLICANT FILL IN BELOW THIS LINE
Name of Owner ...i�'��,�'� Address' L
Architect P one Engineer
Address
Contractor
.�'�"��
Legal Description of Property (Give complete description from deed, tax receipt,
kar i ,exc. NA,y, CO/M.1 Al A,DD _ry
etc.)
Phone
Phone
Phone
DESCRIPTION OF WORK: New Addition It/ Remodel
Size of L. . J.X 6'• 6.
Const •.Arf-a,Vvt (. Dimensions 67/1/-1#2-O "- 4.---‹ /4
(Frame, concrete, brick, etc.)
Rooms_l____ Baths "'"' Basement `— Foundation Const
(Full, part, none)
Heat. System ��ltiCi Ty a of Roofing Ext Finish
Use of Bldg. azdeicZ4---_,IP_...1-iii4-ale,./7
Garage or Carport Attached 71-6-'vrQ_
Moving Bld one ` Fire Zone
Sewage System Q .,�, Stories l d
Total Sq. Ft. /8/ Valuation /4-52-21
Chimney Fireplace
(Kind) (Nu ber)
_ Int. Wall Finish
No. of Units
— Bedrooms
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.
c- w & 3'' o
b,
i
SOUTH
/-O
I hereb ce tify information submitted is correct and there
as shown.
Owner or Agent( Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
are
an
lltem
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit Cj
Plans Received
Plans Checked
Plans Returned �`-
Plans Picked Up
Plans Mailed
no other structures located on this property except
q- 7-7/
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Permi
The zone is ,-C.CJ t 1._ '
✓, Receipt 6>F4 Issued 9"7-'71
Form 523 Bldg. Code