1972, 07-17 Permit App: J3767 ResidenceCounty of Spokane. Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS/ G6
PERMIT FEE.._�iz
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 or structure already erected, or to change a land use. Construction most 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 -RACK 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 ahei7 aKe WA
Name of Owner_F' - F CnyTy' e t/5_r• c Address I ya 6 /lc l7Cy. Y1 ky Or' Phone A 4 S 4290
Architect Sy Ives -ray Qt -A ISi,phoneR fn-` rieng1neer Phone
Contractor Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
_tire s 275V3 -o93.2
Jot
DESCRIPTION OF WORK: New v/Addition Remodel Moving Bldg. Zone _I__ Fire Zone
Size of Lot _____240c4.1_40 Sewage System Stories / V2—
Total
ZTotal Sq. Ft. 2.2 n 7 Valuations arc 7 571
Const F- ya Yn P Dimensions
(Frame, concrete, brick, etc.)
Rooms__ Baths Basement Full Foundation Const. C O Yl G V & 1Y'. Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System Q i FiLn kprype of Roofing AS ph Q. i t Ext. Finish -%' J-1/ Int. Wall Finish 1)Pyu/n f/
Use of Bldg. %i e j Iden t e No. of Units Bedrooms 4'
Garage or Carport Attached (' a nv e A f -T aeA
y Private Detached
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
H
State License No.
27-3—-i2a7y
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures
as shown.. 12
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
located on this property except
97 Z -
Your street address will be /.� .C` /3 ` VYsnr_iF—,cd N� The zone is
Sewage Per t Number Issued Building Perini ,a G 72
? Receipt 3 & Issued
Remarks 11�G�-'f-fy2 D�iii r%i4r210 (f//'v*7
Form 523 Bldg. Code