1972, 02-24 Permit App: J1963 Residence (, iip
County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201 ,
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE2 E ‘)._.
�
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an/
kind or alter any building er 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. A
ItSET-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 5side 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 ,
I( 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 AO % 4�Y'i Address /V- 1- AA'
46 phone . `/' 1_ -- 5'
Architect_ Phone Engineer Phone
Contractor -72./42_,(424,_ 84_,-1(j.q I- Address % L%- '✓►t• ' -� /'hone to
Leg es/riptiofi of Property (Give complete description from deed, tax 7:cei`.t, etc.1r/ z� .e ! "1
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II
DESCRIPTION OF WORj{•New L/ Addition Remodel Moving Bldg.Zone / Fire Zone
Size of Lot 7 5 /( J T U / ewage System..5ef t/L' Stories
Const.f'A44 1,- Dimensions - /-/X 11:2-J '' /0Xt `f/70y2 ota1 Sq. Ft. /"4110 — Valuation /g:0 00
(Frame,concrete,brick,etc.) J / , i'''6%4;,,,
Rooms 6 _Baths 1 Basement /:------i r Foundation Const. V 11 t' -6 r� _.Chimney `''r 4 Fireplace
(Full, part, none) p (Kind) (Number)
Y ,± r Type of Roofing C v)1/J. '� (eLt. Finish a./d l.' l `�r�d a ik„-4- 4-/'y.0 1/nT
Heat. System l� t ( fi' '� Int. Wall Finish 1
Use of Bldg. /fe' , (J-j-e K. <LI - No. of Units / Bedrooms —
Garage or Carport Attached C4)- i-E e” / Private Detatched
7 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.
State Lice a No.
NORTH
Ind. Ins. Acct. No.
REQUIRED •
zi
Plumbing Permit �,
h , mHeating Permit
m 4v'
1 � 41 S�� rutSewage Permit
CI
Plans Received
` Plans Checked
.3
a tooled Plans Returned
r:-.) ZSR .H rA N k
Plans Picked Up
2 j Plans Mailed
SOUTH
I hereby certify information) ubmitted is correct and there are no other structures located on this property except
as shown. e0 - / � —....2--
Owner or Agent I - Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
:e 1,. r i -. � DO NOT WRITE BELOW THIS LINE
Your street address will be The zone is - -
—
Sewage Permit Number Issued Building Permit ;Receipt , Issued
Remarks __. , -
/
form 523 Bldg. Code
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'13 SARGENT, RAMER & ASSOCIATES, INC. 4'
CIVIL ENGINEERING & LAND SURVEYING
NO. 10115 NEWPORT HWY. HU.7-1658
SPOKANE, WASHINGTON 99218