1971, 05-16 Permit App: I4464 MH>' %4
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
,i • APPLICATION FOR LAND USE OR STRUCTURE PERMIT o
GENERAL REQUIREMENTS PERMIT FEE '� 6"'
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 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 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 thestructure 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.
Q �1 APPLICANT FILL IN BELOW THIS LINE / r l
Name of Owner aoaf sr AQUIK Address E. fgbzp AR( /TA Phon'W r7e '9&0Z)
Architect ,L 1 Phone Engineerotth c�wra+ Phone
Contractor � cit a pip AddressF /nu,' not ggcZ' Phone (1,)!4 V--67°
Legal Description of Property (Give complete description from deed,edtax(�receip etc.)
�+ I o CNA- 1t-c/N( nith'Ua=t
DESCRIPTION OF WORK: New_�LAddition
Size of Ilk 70` )cf/? r
Const. l/1cur-e._ Dimensions /0
Remodel
Moving Bldg. ZoneJ 1 Fire Zone 3
Sewage System Stories .
Total Sq. Ft. Sri) Valuation 1:500"0
(Frame, concrete, brick, etc.) n I
Rooms_(n— Bathssp / Basement 0 Foundation�II Const 01-a/.O �T Chimney 0 Fireplace jn
Heat. System /t6<-�t (Fultl_T_ype �of , part, oRoofing 41•ILI X Ext Finish / 7^"^ `�-- Int. Wall Finish
,�C.✓�f7wm her)
Use of Bldg. I ati--Q, kb7 . 6r G no.a.aa,cct
No. of Units Bedrooms 3
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
In hereby certify info
as shown.
SOUTH
ubmicoi -c- and there are no other structures locate • on this property except—
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
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 Issued
Remarks
i
e zone is '✓ In
Building Permit Ifo rReceipt Issued
I ✓
0
Form 523 Bldg. Code
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