1972, 06-13 Permit App: J3368 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT"
GENERAL REQUIREMENTS PERMIT FE
PERMIT REQUIRED. A land nse 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 vltb 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. Vfhere 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 Nm. 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 an 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 111 BELOW THIS LINE
OD
Name of Owner L(JC /V C , ,% 712 Lr Trm� Address 5'. •
Architect Phone Engineer
Contractor WEN OCC_ (_b/is-T2i/C Tiot/ Address -?F/x1411/76 rev')
Legal Description of P
erty (Give complete description from de
lino OAT
.O
Phone 0.20,-6 "27/ 7.
Phone
Phone 60Fl—(n - 271 Z -
tax receipt, etc.) /✓. /13.-C-, 6(k OF
n/ t/ 6
DESCRIPTION OF WORK: Nevi iC Addition _ Remodel
Size of Lot 7O )F. 90 ( /S/S OC)'
Const /Rr/sG (v Dimensions 7x 2 51--
(Frme, concrete, brick, etc.) y /�
Rooms_ Baths 2 -Basement /t Foundation Const ! /5Nr![ETC-
Moving Bldg. Zone Fire Zone
Sewage System Stori ,vii
Total Sq. Ft. /705. fiJaluatio 407 "! 0 0
� r
Chimney J>/ -C - Fireplace Z-----
3
/� (Full, part, none) /a
Heat. System PG{ . 6A S Type of Roofingf^1D SOL, T %/Ext Finish ( 'vr
Use of Bldg. FS / PEA/C
'Gnrfgc-or'Caiport Attached
Draw sketch with dimens
`proposed buildings; (4) dis
-''tem and water supply, lines.
ons showing: (1)
ance to property
NORTH
(Kind) (Number)
L.p,o Int Wall Finish P/1 (.4.)
tGc
No. of Units —Bedrooms
Privme Del etched
PLOT PLAN *
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
as s
SOUTH
hereby certify information s
bmitted
Owner or Agent
ITS
41
H
Ino. Ins
nse No.
Acct. No.
REQUIRED
n/�lG!871
Plumbing Permit
Heating Permit
Sewage Permit It A//i/I Nic N/4 tc.
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
s correct and t re are no other structures located on this property except
Date
A LAN USE OR ST UCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
c z
DO NOT WRITE BELOW THIS LINE
Your street address will be C / a 1) 0 AXtQCy L i^ he zone is
Sewage Permit Number Issued Building Permit 65, Receipt
Remarks
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PS: PH L. GICk!N:SA
Iiiii i,i"ii1NA! i 1Nl! SLt4VCYOR
E. ''191 Mtt1S:IE:.i)
SPDXANF, W'ASUINGfON 99206
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