1972, 02-22 Permit App: J1946 Residence"S's
1.5
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITe oQ
GENERAL 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 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 9tgineer'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 'JTHIS��LI/NN�JE /
Name of Owner '. 'ddress 5it/ Adi + » 4 -' Phone 11/4-b
/lf -C%S9%
g
Architect(/tC/�� ,sPhone Engineer • / _ Phone '��M _
Contractor _ .-L�.�r,t0 inti Address Stmt^ --a-- Phone wpb - 9 77
Lego es ription of Pro r y ( ive complete descr(ip/ttign from deed, tax re Opt, etc.) [
L \`YCXP.to L _ G
;cu- as4,4// oymg
Remodel Moving Bldg. Zone i Fire Zone 3
Sewage System S Stories / %1
a2(C7f Total Sq Ft. $2103,2 7 Valuation 3/. 3-O.0o
DESCRIPTION OF WORK: New - Addition
Size of Lot Dx � 8. S.3
Const. -r./1.0.M--)--- Dimensions a (off( `f*
(Frame, c trete, bricI3etc.)
Rooms � Baths �`
Heat. System
Use of Bldg
Basement Foundation Const.
(Full, part, none)
S Type of Roofin
Ext. Finish
Chimney Fireplace
(Kind) y (Num
Int. Wall Finish
No. of Units
Garage or Carport Attached Private Detatched
BedM4oms T
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
y
D
I hereby ce
as shown.
H
ormation submitted is correct and there are no other structures located on this property except
-2- a.2-%2
Statese No.
Ind. Ins. cct. No.
REQUIREDj,
Plumbing Permit v
Heating Permit`—
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner :r A'ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES: -
THIS IS NOT A PERMIT.
0;44 1 i y) DO NOT �WRRITTE�E BELOW THIS LINE
/0Your street address will be �2/7 F /4 l't a-11, The zone is
Sewage Permit Number Issued
Building PermitC)/9* "Receipt ti%`fIssued 02-22-72—
Remarks
Seed
Form 523 Bldg. Code