1971, 05-26 Permit App: L4521 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT�
GENERAL REQUIREMENTS PERMIT FEE.,/Q
PERMIT REQUIRED. A land use or structure permit is requir t (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 surfacer, shoilders 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
Name of Owner .fw)1e 1)Sne" Address 7//S. Pre vivPg CSJ' Ph one u1.0//-Se97
Architect Phone Engineer Ed. S,w.. Phone ({/i46-S,i
Contractor FIR ,'s ke Con/S-6• Address 9// s_ PRo,/e&SS JJ phone1Ug/f-5-0447
Lega,1 Description of P e (fve complete description from deed, tax receipt, etc. ) 4 a 2 3 ?/o GAC 7
J-.P.r S t . 7LS-4e7 / 5<03.
DESCRIPTION OF WORK: New '" Addition . Remodel Moving Bldg. Zone ) Fire Zone
Size of Lot /0 0 X / :Lc Sewage System S 6/C- e
Const/CR/`}-4le Dimensions 36 X.ZI/ av2XZ'Z- Totals Ft 2 Stories �-
(Frame, c ncrete, brick, gjc.) 14 Valuation 3j �d
Rooms f^) Baths '- Basemen Foundation Const 0 moi•—tee L eP' ae,L
O Chimney Fireplace
��oo (F 1, part, none) (Kind) (Number) I
Heat. Systemcit ,I.I . Type of Roofing S/,44/ t Ext. Finish P41 .f/ t Int Wall Finish %)D�r L✓ i4/� `
Use of Bldg. ��0�`.'5 j'da.✓ ee 7 / / No. of Units _ Bedrooms l
Garage or Carport Attached art X.zs- 8-14L4.41 et. c.4 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.
I hereby_ - ify in
as shown.
State License No.
3 —0/ — .0-2_
Ind. Ins. Acct. No.
.777, A_70
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ect and there are no other structures located on this property except
lD
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRIT
i
Your street address will be /0 cY
Sewage Permit Number Issued
Remarks
OW THIS LINE
Building Permit
e zone is
Receipt
Form 523 Bldg. Code
/ice
ee.
13/68
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