1972, 04-13 Permit App: J2569 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99241
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 9
PERMIT FEE
GENERAL REQUIREMENTS
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 -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 -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
ddress % 7-q „Re //%a ,2 Phone ,�✓u�!c
Name of Owner r __lr �c
Architect''// Phone Engineer
Contractor(o,,- 2/9,97/0.0rrt j^ 4,,v es Address /ooh S.
Legalescript1on of Property (Give complete ete ,description /from deed, tax re
J..5 t J - S/0 e i /d" - ,Loeb��.7 /4,2/i; ?', c 1, -,
pLi ce'/ a 5'1.3- c7ri / /
Phone
rr/ &c>' Phone It ,414e y/lei
DESCRIPTION OF WORK: New f Addition
Size of Lot 2 fig X .25"
Const..(r.4 ✓r7 e' Dimensions 4 / 72
(Frame, concrete, brick, etc.)
Rooms ' Baths Basement- Foundation Const
// Full, part, none)
Heat. Systema'. 17(- Type of Roof
Use of Bldg. -e
Remodel
eipt, etc.)
Moving Bldg. Zone / Fire Zone
Sewage System '.re/' --Cr eitic Stories
Total Sq. Ft /' 7pZ Valuation e-74, e,00.
11 e %' t• f G Chimney Fireplace
(Kind) _•, (Number)
u.IJ
Ext. Finish
-)n t9 1 Int. Wall Finish %^y it,/ /,/
No. of Units / _ Bedrooms .3
1 t
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings;
tem and water supply lines.
T,H
H
(3) location of existing and
(6) location of sewage sys-
State License No.
-sem/ .-‘7/F
Ind. Ins. Acct. No.
REQUIRED /
Plumbing Permit --/�Le /4 '—
Heating
— /714//:*??
///_ �!
Heating Permit .4,4/7/"Cue//7 / 71�'' e ' ?
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby rtify inf
oration sa.mitt� is 7pt and there are no other structures located on this property except
as shown.
Owner or Agent
..o. -,r �� /71 —/ 3— 7-2—
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
Remarkse411.
/ 6,1
Issued
Building Permit
e zone is P' '
Receipt y 3 U Y Issued
Form 523 Bldg. Code
a4%se
;i •/ '
98 '
(�arr'.1c
//e. .s
z-
7.
,
H
(3) location of existing and
(6) location of sewage sys-
State License No.
-sem/ .-‘7/F
Ind. Ins. Acct. No.
REQUIRED /
Plumbing Permit --/�Le /4 '—
Heating
— /714//:*??
///_ �!
Heating Permit .4,4/7/"Cue//7 / 71�'' e ' ?
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby rtify inf
oration sa.mitt� is 7pt and there are no other structures located on this property except
as shown.
Owner or Agent
..o. -,r �� /71 —/ 3— 7-2—
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
Remarkse411.
/ 6,1
Issued
Building Permit
e zone is P' '
Receipt y 3 U Y Issued
Form 523 Bldg. Code