1972, 05-10 Permit App: J2939 Residencei1
County of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 1 oy
GENERAL REQUIREMENTS PERMIT FEE 33
�f PERUIT 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 he 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
Name of Owne
Architect Phone Engineer Phone
Contractor ...4451,141A—Address //�j—��hgae
Legal Description of Property (Give complete description from deed, tax receipt, etc.)I"(j-).t'LC ¶..,,c, 3-4 a.—
/.4T.. ,(3/-- if t% M.4nls,A. ADD
00 /�,,tt(� 2-lesvvu_-9901-a S'
ddress -LJ ss Phone /fO
/73/
/734.
DESCRIPTION OF WORK: New // Addition
Size of kfit g b - /U ii
Constti i7:LFMf./,_ Dimensions 2 t -4C50.1 / — /'s/ X ,3D / Total Sq Ft'" /J ai Valuation ace, OU
(Frame, concrete, brie etc.) nn• �II '' ,q���� ����,,rr �������
Rooms �'C Baths Basemen -Foundation Const l -P' Yt.c:�-�w Chimner� z Fireplace Q
(Full, part, none) (Kind) (Number)
Type of Roofinpg _15-7-74.10,-- Ext. Finish % / 1/ Int. Wall Finish ��/'Lf i l.[}'.-`
A-it,Q .e)R, 111.
Remodel Moving Bid Zone Fire Zone
Sewage, System J1 Stories /
Heat. System
Use of Bldg. A»44 -a
Garage or Carport Attached
No. of Units Bedrooms
Private Detat,•hed
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
I
as sho
h
SOUTH
infoion submitted is correct and there are no
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
H
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
other structures located on this property except
S—/a— 7
Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE 17
Your street address will be
Sewage Permit Number Issued/
td---/-17)�
Remarks .FD
A t2 �A3f4
Building Permi
e zone is
Receipt qth a
Foran 523 Bldg Code
• F.N.A. APPROVAL ONLY
CO- FSE'.1.14'
HEALTH DIST.
APR 2 5 1972
ENV. HEALTH
1
MIN. ILd.D! DR/JIN p/E40 ,-
M -OUSE.','
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