1971, 06-14 Permit App: I4731 Residencein
County of Spokane, Washington
WASHINGTON 99401
/
BUILDING CODES DEPARTMENT. COURTHOUSE, SPOKANE,
MIT
APPLICATION FOR LAND USE OR STRUCTURE PERIT FEE
GENERAL REQUIREMENTS
VOMIT REQUIRED.tA land oorsstructurepermit
alreadyserected, oruired y touchangeResolution
use.erect
Constructionbuilding
must conformstructure
with the
Spod er ulter any il building
SDokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be
County Roads, permissionHealth
must beDepartments.
obtained fromre thework
Countywater
Engineer'stOfficedisturbs
the surface, shoulders or
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In mstzonessand yardfromt a circum Laning , street, set -back
k5from m a the yard nteproperty
tedline, of at
Tis Whred, a 5'sideyard,clearance must be obtained pertaining to set -back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway,
and egress.
pCerformed
ROADS. Work non ceswithtstakes.oPointsmay of ingressperformed
egressnmuststaked
approved byCounty
theRoad
Countyrtment andEngineer. work must be
cNmed in accordance
MOVING OF required
Engineerland/orlState HighwaybDepartment, is moved on a County or State
Highway, clearance m
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
the land
RESTRICTIVE COVENANTS.
throughBuilders
civiluaction. Countysions Officialscovenants
not bringdedications
toand
enforrcceaents covenantslor dedications.
which are enforceable
APPLICANT FILL IN BELOW THIS LINE
C od _7" ddress j..13:29 E, Set4-9rIr 9 /b Phone rl✓��02-71
Name of Owner � Eagineer Phone
Architect Phone �-- p9ai6 Phone ���"a % ��
// Address I35a�j E. Sit 7ue
Contractor/6)&0n Cons'�RUrTid�v� SnC.
Legal Description of Property (Give complete description from deed, tax receipt, etc.) /,A D�
Le /- .,7 , 8/�c/'/ 0-1/ ,P,,e.s 1,m//e7 U/'e&J Aid
. 1!
l el -17J 1 - e�/4/2.7)
Bldg. Zone 1 Fire Zone
Remodel Moving LL
Sewage System Sepi4c TA-iik Stori), 1
Total Sq. Ft. Valuation �, 000 ..0,5
Chimney &ie/GkFireplace
(Kind) (Number)
Int. Wall Finish flit. 6'6.4 Rd
No. of Units ___I__ Bedrooms 7
DESCRIPTION OF WORK: New )( Addition
Size of Lot /,/)( g.v
Const. pkf}171 C Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths _cat— Basement ALL_ Foundation Const.
41i<yh
(Full, part, none)
Heat. System P /Cal t / C _Type of Roofing CAi ry) OS; ' d ot• Finish LIl /V)Use of Bldg. /1/./i x79 iP es e -
Garage or Carport Attached 4/1)
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
o
as sh
SOUTH gO
herebycertify] info mai submitted is
O.)) 1,
Owner or Agen
a
N
E
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
A -i' n /lee,
correct and there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6/ iv / 71
DO NOT WRITE BELOW THIS LINE
Your street address will be
Sewage Permit Number
Remarks
D
e zone is Aff,/, -516i—
Building Permit t✓i `(; -: Receipt S i�j� Issued
Is= ued
c__� eon nia� r,.ae