1972, 07-19 Permit App: J3797 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 4/
GENERAL REQUIREMENTS
PERMIT FEE c2/
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 most conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
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the R. Water surface, shouldely rs ort be ditchesved by the of County Roads, permissionand State ealth must bepobtained frromrtheoCountyeEngineer'stOfficeisturbs
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.
,2 7
APPLICANT FILL 113 BELOW THIS LINE
Z2 e. it/41414444_Phone /Li U-7- 46 I/6 —
Name of Owner 4/i � .. .0.1 _44 ddress
Architect Phone Engineer Phone
Contractor 4.-'vLC. Address 0Qe
Legal Description of Property (Give gonplete de:, ription from eed,tax receipt, etc.) i .... .
1-z)7.-- - K 1 ' at
DESCRIPTION OF WORK: New Addition
Size of t %'9X /.2C
Const,..-±,-a-Vit_ Dimensions Q24, )('.3 0.
Rooms Baths / BasementZ.L Foundation Const
(Full, part, none)
Heat. Syste Typ of Roofin
Use of Bldg. .0 (/'8 ,{4
Garage or Carport Attached
(Frame, concrete, brick, etc.)
Remodel
Moving RidgeZone Fire Zone
Sewage Systeme Stories / D
Total Sq. Ft. 4g Valuation /?61,40 0
ChimneFireplace �_—
(Kind) (Number)
Ext Finish ,(,Int. Wall Finish
No. of Units Bedrooms
Private Detatched
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 hereby certify infor
as shown.
SOUTH ALK 1
State License No.
Ino. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ted is correct and there are no other structures located on this property except
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
Your street address will be
Sewage Permit Number
Remarks .4
1
.Q
Issued
Com/
Building Perini
e zone is L`'dfl"` i Q ,i' X
Receipt 36,0 Issued
Form 523 Bldg. Code