1971, 09-30 Permit App: J0928 Residence111
t r '' 4 ) ` DCakunty of Spokane, Washington
+ DEPARTMENT. COURTHOUSE, SPOKANE, WASHINGTON 9920'd
4__—APPkLeATIN FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
kkindITnd orEflr al�'anylbuiuse or lding orstructure stru structure alreadyrmit serected, oruired y touchangeResolution
land use.erect
Constructionnmust conformstructure
with th
Spotane County Building Code and Zoning Ordinance. Construction is subject to inspection.
e
WATER.
surface, shoulders be
County Roads, permissionand State ealth must bepobtained fromrtheork on Countyater Engineer'stOfficeisturbs
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
leastSET-BACK k
25'Fiss required, al 5' side zones and
side yardrfrom osta flankingnces, a street,sandba 25' rearthe
yardfront
areproperty
requiredline, of at
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 egress. 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. the land
nd
which areVenforce enforceable Buildersld check
Countysions Officialsf ocanants or not bringdactionntosenforcements covenantsing or dedications.
APPLICANT FILL IN BELOW THIS LINE
i ddress 1, i'` 1 , A'
�
Name of Owner
Architect
Contractor
Legal Description
DESCRIPTION OF
Phone Engineer
Address
Phone \-/,‘-:j 1- 4i, '\
Phone
Phone
of Property (Giye complete description from
��✓ (_ ��
(i)
WORK: New Addition Remodel
Size of Lot ` I / ,
Const X n • Dimensions
(Frame, concrete, brick, etc.)
Rooms Baths _lBasement\ \\ Foundation Const
(F 11, part, none)
'• AT a of Roofing
Heat. System Type g
Use of Bldg.
Garage or Carport Attached
deed, tax receipt, etc.)
(, 6-,6- - /70
((\ A
Moving Bldg. Zone 1— Fire Zona -a____
Sewage System -+ 01 1 4_ Stories '
Total Sq. Ft. / % �- : Valuation 1 '
( ) " 2,\ " Chimney ii , i' / c\/ Fireplace l
(Kind)(Number)
Ext. Finish .,,. N v .,Int. Wall Finish'
No, of Units / Be rooms
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
m
M
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
SOUTH
I here certify informatio77
fitted is correct and there are no other structures
as shown.,
located on this property except
Aner or Agent 'ate
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE • ON TRUCTION COMMENCES.
THIS IS NOT A PERMIT. -
DO NOT WRITE BELOW THIS LINE
Your street address will be Jr 1 (-
Sewage Permit Number Issued ilding Permit
Remarks
e zone is .. •`�
Receipt 5 Issued / D-7 --7 I
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