1971, 12-17 Permit App: J1544 Residence•
County of Spokane, Washingtoaa
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201
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 structure of aay
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 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.
APPLICANT FILL IN BELOW THIS LINE y�
Name of ear l�LliC-t-.-_..,, 'tan/4 Address 92,.0 F .rr�G Ph onetWA �-/'skgg
F+. /
Architect. •1—cTi7/1d�yi PhoneEngineeGr r ff
Address l 2.c 9 ! t t�z-- phone tutu/ — Z i?0
Phone
Contractor Gc,./
Legal Description of Pro} qty (Gke complete description from dee , tax eceipt etc.
DESCRIPTION OF WORK: New v ---Addition Remodel Moving Bldg. Zone
Size of Lot q ' x 1 A i • Const �Sewage System . Stories Ir_. -70......, Dimensions -2--$ X y Z Total Sq. Ft. I / 7 �. Valuation g� O o0
(Frame, concrete, brick, etc.) 11-- �o
Rooms C Baths I Basement ring Foundation Const. (.B'KG
,.y�F}�11, part, none) ..o T -
Heat. System 4 icz_ - Type of Roofing ! er n y, Ext Finish I " l / 1
Use of Bldg. r 2/J _
Garage or Carport Attached
Fire Zone
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
Chimney Fireplace
(Kind)(Number) //
Int. Wall Finish ,42. Q _ Cetc li
No. of Units 1 Bedrooms
Private !Matched
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
I hereby cer
as shown
State License No.
223-o1 -?790
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
iw Heating Permit I/ "/
D Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH E ,
y information submitted is correct and there are no other structures located on this property except
Owner or Agent
A LAND USE OR STRUCTURE PERMIT M
THIS 1S NOT A PERMIT.
P--cc.17-7/
Date
ST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
DO NOT WRITE BELOW THIS LINE
Your street address w111 be
Sewage Permit Number
Remarks
3 y2 3 A
Issued
Building
zone 1 ,1-A—j----
Receipt !O sued
Forrn 523 Bldg. Code