1972, 03-02 Permit App: J2038 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4/4 a ��
GLE KEAAL 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 most 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 eater 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 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 ealements 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 4, yam
99x..37
Name of Owner r/P is[� �o e C ON S D's a Address .$'- U ES -s phone Le'A9-50 7
Phone
• Phone
Architect
Contractor S4/wie .
Legl Da riptio. )of Property (Give
Phone Engineer
Address
compleltrnftrd,
tax
etc.) Za 6t_n_fikeie 7z,- .
/ Fire Zone JL.
Stories
ValuationAS q4Is
ygzei Fireplace
(Kind) (Nymber) i
DESCRIPTION OF WORK: New T— Addition
Size of of y
Const Ilogt-rma.— Dimensions 3 6 Vic/ '� .2.2 A mac/
^
Foundation Const Lin-aC..tG�/
Remodel
(Frame, cp ncrete, brick, etc.)
Rooms b Baths y Basement
Heat System
•
Moving Bldg. Zon
Sewage System .J
Total Sq. Ft 2.0
AosO
Chimne
(Full, u , part, none)
Use of Bldg.
Garage or Carport Attached
//,,ee�� l�
Type of Roofing t--[7�"1-742r Ext Fimsh,l'G% Int. Wall Finish
PLOT PLAN
No. of Units Bedrooms
Private Detatched
Draw sketch with dimensions showing: (1) property lines; (2) 'street or �d 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.
NORTH
I mreby
as shown.
SOUTH
on submi
State License No.
x,23--0)e--Te/i7,41//a_
Ind. Ins. cct.o.
a77, X919
REQUIRED
Plumbing Permit' .�
Heating Permit S — �
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is. correct and there are no other struct
ated on this property except
Owne or Agent. - /j"' Drite\, •
A LAND USE OR STRUCTURE PERMIT MUST BE ON_ THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
GAL/ `744.. 4/0-Z
Your street address will be
Sewage Permit Number Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Ltut-
Building Perm
e zone 1
Receipt 79 .0 Issued
Form 523 'Bldg. Code
9 / /1
� :. 027sq '-/1.044
562g) •M 1,1 0.
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