1971, 09-08 Permit App: J0608 Residence0
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ,2S '
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 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. 45-133 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.
�J�
APPLICANT FILL IN BELOW THIS LINE
Name of Owner //7.-e(- L — &--P-2,-12 • Address ell 9 7 1 E. (�a 44- - vtt�� Phone le/A to -slVto
Architect l -Cr --"W--2,1 ✓,p Phone Engineer Phone
Contractor Ld-K�i,•
Address Phone
pt, et .)
Legal Description of Property (give complete description from deed, tax
Yy
DESCRIPTION ry OF WORK: New Addition Remodel
Size of Lot fie, . 7 X ) Z S '
Const. /"-ntt'7zr-c Dimensions 411 ' K z g
rece
Moving Bldg. ZAne
Sewage System
Total Sq Ft. J / 74 '
(Frame, / �cconcrete, brick, etc.) ,- //J i(�
Rooms Baths ) Basement _ _Foundation Const. c�eie"
(Full, part, none)
Heat. System Type of Roofing
Use of Bldg. ,/t 2-, .
Ext Finish
Fire'Zone
Stories
Valuation /q-ei O c'
Chimney Fireplaceey2t-a--
-s (Kind) (Nu ber)
�JbA Int. Wall Fin' '� A X
No. of Units l Bedrooms 3
Garage or Carport Attached
•,t
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.
NORTH
SOUTH
G , Yui Prz a j
I herby certify information submitted is correct and there are no other s
as shown!
State License No.
227 0, c'79a
Ind. Ins. Acct. No.
Plumbing Pe
Heating Permit
Sewage Permit
REQUIR
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
r tures located on this property except
7
Owner or Agent "Date
A LND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT ,ATE BEL• THIS LINE
Your street address will be
Sewage Permit Number Issued
Remarks
Building Per it
e zone ziaG
Receipt fl 7f I
ued
Form 523 Bldg. Code