1972, 02-16 Permit App: J1890 Residence6 o
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITgor °
GENERAL REQUIREMENTS PERMIT FEE rEe
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 workonwater 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 thestructure 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
O
/�fl�L-S `LBB
Name of owner
Architect '� // Phone
Contractor S /rfJE
Legal Description of Property (Give complet
1324-/ TL
Address&o3N�4'Z -•tin / Phone /J4f<,-f3R//
FmM iaaerJ eairm 4/t5 tint- 9 92 OG Phone
Addresses Phone
e description from deed, tax receipt, etc.) / Ica,
iris*
DESCRIPTION OF WORK: New Y Addition Remodel
Size of Lotd" X
ppZf�s 0 r
Const/ 'P.4'r Dimensions 1 1- 0-
(Frame, concrete, brick, etc.) /7
Rooms G Baths 2 Basement/Cl/4Z Foundation Const `o vd?BTL
44as,' (Full, part, none) nn
Heat. System/e• /PI/ er Type of RoofingCS?fa/t S Ext Finish FC%/%..fra-
Moving Bldg.2Zone 1 Fire Zone 3
Sewage Systemo n TNA- Stories
Total Sq Ft 14.5-" Valuatio oo oO
Chimney.4/R4% Fireplace 2
(Kind) (Number)
Int. Wall Finish .Oky {//9 L L
No. of Units Bedrooms 3
Use of Bldg. / t 4'/L y. O!/ISLQQL " ?
GI S
Garage or C ,, t Attached .cy-
PLOT PLAN
raw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
Private Detatclted
NORTH ,
/65— D"
00
S ate License No.
nd. Ins. Acct. No.
REQUIRED
Plumbing Permit d�ir7:4-avrl
3 I. Qm Heating Permit �6r�2,.s „ew_
(0(�� N Sewage Permit C/
'�i~
t
h
SOUTH
x
bmitted is correct and
Owner or Agent
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
/� %972
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6170) 1/4_4P 40
DO NOT WRITE BELOW THIS LINE
Your street address will be c o *93
Sewage Permit Number- Issued
Remarks
e zone is
Building Perm t
Receipt {L7f[Issued
Form 523 Bldg. Code