1971, 09-30 Permit App: J0929 Residencern. CD TD CD V F- wD^ ` Only of Spokane. Washington
Immotrisami DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 99401;
APPLICAIWN FOR. LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS P'cRMIT FEE
kkindIToREQUIRED.,anylbuiuse or lding ors structure e alreadyrmit srequired erected, ory touchangeResolution
use.erect
Cons'kructionbuilding
must conformstructure
with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
e
theFsurface, be
County Roads, permissionandState ealth must bepobtained fromrtbeo( untyater Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.25.
leastk
25'FisMrePROPERTY LNES. In mostquired, al 5' side yard,z15' side adrdrfrom acflankingnstreet,sandbac25' rea.rhe yardont arepropertrequireline, of at
d
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must and egress.
e
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 buildinp is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Departv,ent.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit. the land
s
which lareVenforce enforceable Buildersld check
Countysions Officialsf ocanants or not bringdactionntoand enf:>rce covenaents ntsng ordedications.
APPLICANT FILL IN BELOW THIS LINE
.
Name of Owner -�, ( .a ..\ +� Address Phone`
Phone Engineer l Phone
Architect Phone
Contractor Address
Legal Description of Property (\Give complete description from deed, tax receipt, etc.)
d ` > - . \� / ` . \ \� . .
DESCRIPTION OF WORK: New Addition Remodel Moving
Size of Lot -'''`'-\ r �%( r.,'' _�
Const.c,--< , . ' - Dimensions / r i / ` `i
(Frame, concrete, brick,. etc.) C
Rooms~ Baths / Basement C `` Foundation Const ( ` , r `�
(Full, part, none)
Heat. System--'" = "•-: Type of Roofing (- `�• Ext. Finish
Use of Bldg. ''.--_,_I• • --, t ` , ` '
Private Detatc.[ed
r
Bldg.: one Fire Zone >�
Sewage SystemStories
Total Sq. Ft. % `. s Valuation k'
Ch`:nney,v ,\i Fireplace 1
(Kind) (Number)
s\ -1v\yInt. Wall Finish (1) �'`('rr. ,,
I T >. of Units ) Bedrooms
Garage or Carport Attached
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locaticas;
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildi,igs
tem and water supply lines.
nt
N
.4
NORTH
SOUTH
tted is correct and there are no oth
I hereby ,2ertify information s
as shown.
c (fir_ ter Agent D
A LAND USE OR STRUCTDIMPERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
and
;(3) (6)1ocatin 1 cationooff existing
sewage sys-
State License No.
X 23 al 1a��1
Ind. Ins. Acct. No.
REQUIRED
•
Plum. Ding Permit
Heating Permit
Sewi:$e Permit C
Plane Received
Plan Checked
Plan Returned
Plan:; Picked Up
Plar i Mailed
r struqur^s located on this property except
Your street address will be
Sewage Permit Number Issued
•
Remarks
DO NOT WRITE BELOW THIS LINE
Building Permit
•i zone is
'Receipt
.
1
Pii e 7 SC4 Le of Q ie, r/
ct 4 ( `%, c,"- / 3) cZ t.�) .. G �" -\,,A a \).0.\\e,..0
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